Active NPI
Mary Courtney Burken, ATC LAT PHD
- Athletic Trainer
- Mansfield, TX
National Provider Identifier
1891905014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT2847
- Practice address
- 752 N Main St Unit 1389
Mansfield, TX 76063-3293 - Phone
- (254) 624-1057
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT2847 | TX | Primary |
Addresses
Primary practice location
752 N Main St Unit 1389
Mansfield, TX 76063-3293
Mailing address
752 N Main Box 1389
Mansfield, TX 76063-2578
Phone (254) 624-1057
Other practice location 1
900 College St # 8010
University of Mary Hardin Baylor
Belton, TX 76513-2578
Phone (254) 295-5514
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT2847 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1891905014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "752 N MAIN BOX 1389",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760632578",
"telephone_number": "254-624-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "752 N MAIN ST UNIT 1389",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633293",
"telephone_number": "254-624-1057"
}
],
"practiceLocations": [
{
"address_1": "900 College St # 8010",
"address_2": "University of Mary Hardin Baylor",
"address_purpose": "LOCATION",
"city": "Belton",
"state": "TX",
"postal_code": "765132578",
"country_code": "US",
"telephone_number": "254-295-5514",
"fax_number": "254-295-4614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKEN",
"first_name": "MARY",
"middle_name": "COURTNEY",
"name_prefix": "Dr.",
"credential": "ATC LAT PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT2847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.