Active NPI
Burton Neal Lakey, WHC NP
- Women's Health Nurse Practitioner
- Jasper, TX
National Provider Identifier
1649297631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 595555
- Practice address
- 315 W Houston St
Jasper, TX 75951-4013 - Phone
- (409) 384-3430
- Fax
- (409) 383-0571
- NPI assigned
- Jul 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 595555 | TX | Primary |
Addresses
Primary practice location
315 W Houston St
Jasper, TX 75951-4013
Mailing address
315 W Houston St
Jasper, TX 75951-4013
Phone (409) 384-3430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 595555 | TX | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jasper Newton County Public Health District | Past | Accepting new patients | |
| Dailey & Wilkerson Medical Group | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Jasper, TX
- NPI 1184641102
-
- Public Health or Welfare Agency
- Newton, TX
- NPI 1083832562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1649297631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 W HOUSTON ST",
"city": "JASPER",
"state": "TX",
"postal_code": "759514013",
"telephone_number": "409-384-3430",
"fax_number": "409-383-0751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W HOUSTON ST",
"city": "JASPER",
"state": "TX",
"postal_code": "759514013",
"telephone_number": "409-384-3430",
"fax_number": "409-383-0571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKEY",
"first_name": "BURTON",
"middle_name": "NEAL",
"name_prefix": "Mr.",
"credential": "WHC NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "595555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.