Individual provider Active NPI

Mary Courtney Burken, ATC LAT PHD

  • Athletic Trainer
  • Mansfield, TX
National Provider Identifier
1891905014
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT2847 Issued in TX
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

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AT2847TXMDAthletic 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.

Verify at the official NPI Registry.