Tiffany Burks

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043090801 Issued in IL

Practice address

3300 175TH St
Hazel Crest, IL 60429-1604

Phone

(708) 654-6921

NPI assigned

Sep 27, 2021

Last updated

Sep 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1710658950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 175TH ST",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291604",
            "telephone_number": "708-654-6921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 175TH ST",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604291604",
            "telephone_number": "708-654-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043090801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander E Buckley, DPT
• Natalia Budz
• Build Your Calm PLLC (Build Your Calm Therapy & Wellness)
• Robert Bulanda
• Christian J Burks, MS, CHW
• Lori Ellen Burns-Gorecki, MA-CCC-SLP/L
• Brooke Lynn Burns, MSOT R/L
• Martina Burton
• Gameli Dekayie Bush, MD
• Rainnese C Butler

• Licensed Practical Nurse in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.