Kathy A Burris, MS ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT148 Issued in AR

Practice address

909 Regal Dr
North Little Rock, AR 72118-2639

Phone

(501) 753-7296

NPI assigned

Jun 30, 2006

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

Other identifiers 1

Other names 1

• Kathy A Burl Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770512196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 REGAL DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721182639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 REGAL DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721182639",
            "telephone_number": "501-753-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRIS",
        "first_name": "KATHY",
        "middle_name": "A",
        "credential": "MS ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "AT148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "AT148",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "BURL",
            "middle_name": "A",
            "credential": "MS ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Lanell Burnett, APRN
• Willieb Burnett
• Jay Michael Burns, OTR/L
• Marty D Burns, KINESIOTHERAPIST
• Stanley C Burns, M.D.
• Kelli Burroughs
• Rachael A. Burroughs
• Zachary R Burroughs, O.D.
• Kelley Renee Burrow, MD
• Emily Burt, LCSW

• Athletic Trainer in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Athletic Trainer in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.