Active NPI
Wendy Jaye Burke, M.D.
- Psychiatry Physician
- Gilmer, TX
National Provider Identifier
1942357173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- E6738
- Practice address
- 1233 Lazy Daisy Rd
Gilmer, TX 75645-6919 - Phone
- (903) 738-2846
- NPI assigned
- Jan 3, 2007
- Last updated
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E6738 | TX | Primary |
Addresses
Primary practice location
1233 Lazy Daisy Rd
Gilmer, TX 75645-6919
Mailing address
PO Box 229
Diana, TX 75640-0229
Phone (903) 738-2846
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brittain & Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carousel Clinical Services
- Clinical Psychologist
- Ore City, TX
- NPI 1285650457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1942357173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 229",
"city": "DIANA",
"state": "TX",
"postal_code": "756400229",
"telephone_number": "903-738-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 LAZY DAISY RD",
"city": "GILMER",
"state": "TX",
"postal_code": "756456919",
"telephone_number": "903-738-2846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "WENDY",
"middle_name": "JAYE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "E6738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilmer, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.