Active NPI
Kristina D. Burton-Vunesky, MSW, LCSW, PSY.D.
- Health Service Psychologist
- Nixa, MO
National Provider Identifier
1912977679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 2008009366
- Practice address
- 729 W Center Cir
Suite 103
Nixa, MO 65714-7001 - Phone
- (417) 724-0700
- Fax
- (417) 724-0710
- NPI assigned
- Jan 25, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2004005435 | MO | |
| Clinical Psychologist | 103TC0700X | 2008009366 | MO | |
| Health Service Psychologist | 103TH0100X | 2008009366 | MO | Primary |
Addresses
Primary practice location
729 W Center Cir
Suite 103
Nixa, MO 65714-7001
Mailing address
729 W Center Cir
Suite 103
Nixa, MO 65714-7001
Phone (417) 724-0700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 496125006 | Medicaid | MO | |
| 9567100 | Other | MO | AETNA |
| 201291 | Other | MO | BLUE CROSS BLUE SHIELD |
Other names 1
- Dr. Kristina D. Burton
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008009366 | MO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1912977679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "729 W CENTER CIR",
"address_2": "SUITE 103",
"city": "NIXA",
"state": "MO",
"postal_code": "657147001",
"telephone_number": "417-724-0700",
"fax_number": "417-724-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 W CENTER CIR",
"address_2": "SUITE 103",
"city": "NIXA",
"state": "MO",
"postal_code": "657147001",
"telephone_number": "417-724-0700",
"fax_number": "417-724-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON-VUNESKY",
"first_name": "KRISTINA",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "MSW, LCSW, PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2004005435",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2008009366",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "MO",
"license": "2008009366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "496125006",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9567100",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "201291",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "BURTON",
"middle_name": "D.",
"prefix": "DR.",
"credential": "MSW, LCSW, PSY.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Nixa, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.