Roslyn Denise Burks, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A03032 Issued in AR

Practice address

4747 Dusty Lake Dr
Suite G-1
Pine Bluff, AR 71603-8742

Phone

(870) 536-6600

Fax

(870) 541-8623

NPI assigned

Aug 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Roslyn Burks Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Curana Health of Arkansas LLC

  • Nurse Practitioner
  • Bentonville, AR
  • NPI 1659750214

  Family

  Medicare reassignment NPD
• Jefferson Hospital Association, Inc

  • Clinic/Center
  • Pine Bluff, AR
  • NPI 1841235868
  Medicare reassignment NPD
• Icp Arkansas Aco Billing LLC

  • Clinical Nurse Specialist
  • Maumelle, AR
  • NPI 1679157838
  NPD
• Jefferson Hospital Association, Inc

  • Rural Health Clinic/Center
  • Crossett, AR
  • NPI 1225799646
  NPD
• Icarepro of Texas, PA

  • Clinical Nurse Specialist
  • Texarkana, TX
  • NPI 1396193066
  NPD (past)

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

{
    "created_epoch": "1188086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1861685570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 W 25TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035244",
            "telephone_number": "870-413-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 DUSTY LAKE DR",
            "address_2": "SUITE G-1",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716038742",
            "telephone_number": "870-536-6600",
            "fax_number": "870-541-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "ROSLYN",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-26",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03032ANP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "burksr@ohit.sharear.net",
            "affiliation": "N",
            "address_1": "4747 Dusty Lake Dr",
            "address_2": "Suite G-1",
            "city": "Pine Bluff",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716038742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROSLYN",
            "last_name": "BURKS",
            "credential": "APN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Timothy Bryant, MD
• Jeffrey S Bryles, M.D.
• Trina Louise Buckhanan
• Cynthia D Bullard, LPC
• Troy Joseph Bunger
• Bonny Burnett, SLP
• Roy Louis Burrell, MD
• Burris-Dake Oral Surgery
• Sheena K Burton, BS, MHPP
• Brittany Butterfield, PHARMD

• Family Nurse Practitioner in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.