Individual provider Active NPI

Roberta Jane Burk, AU.D.

  • Audiologist
  • Fort Worth, TX
National Provider Identifier
1659963833
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81316 Issued in TX
Practice address
4601 Heritage Trace Pkwy
Fort Worth, TX 76244-8905
Phone
(817) 431-7985
Fax
(817) 431-5031
NPI assigned
Feb 9, 2021
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81316 TX Primary

Addresses

Primary practice location

4601 Heritage Trace Pkwy
Fort Worth, TX 76244-8905

Mailing address

4601 Heritage Trace Pkwy
Fort Worth, TX 76244-8905
Phone (817) 431-7985

Other identifiers 1

IdentifierTypeStateIssuer
81316OtherTXTEXAS AUDIOLOGIST LICENSE

Other names 1

  • Roberta Desplinter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210316003058 TX Practitioner - Qualified Audiologist 7012323041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas ENT Center PLLCGroup PAC ID 8224222005, 6 clinicians

Practice addresses (Care Compare)

4601 Heritage Trace Pkwy
Fort Worth, TX 76244-8905
Phone 8174317985101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas ENT Center, PLLC CurrentSince Apr 20, 2026 Accepting new patients
General Anesthesia Services, PLLC PastSince Feb 14, 2021 Accepting new patients
Noble Anesthesia Partners, PLLC PastSince Feb 14, 2021 Accepting new patients

Locations

4601 Heritage Trace Pkwy
Fort Worth, TX 76244
Phone (817) 431-7985

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1659963833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 HERITAGE TRACE PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448905",
            "telephone_number": "817-431-7985",
            "fax_number": "817-431-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 HERITAGE TRACE PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448905",
            "telephone_number": "817-431-7985",
            "fax_number": "817-431-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "ROBERTA",
        "middle_name": "JANE",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS AUDIOLOGIST LICENSE",
            "identifier": "81316",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTA",
            "last_name": "DESPLINTER",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.