Individual provider Active NPI

Lindsay Marie Burks

  • Adult Medicine Physician
  • Plantation, FL
National Provider Identifier
1972318517
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
11036401 Issued in FL
Practice address
837 NW 79TH Ter
Plantation, FL 33324-1465
Phone
(954) 854-5942
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 11036401 FL Primary

Addresses

Primary practice location

837 NW 79TH Ter
Plantation, FL 33324-1465

Mailing address

837 NW 79TH Ter
Plantation, FL 33324-1465
Phone (954) 854-5942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20251013004180 TN Practitioner - Nurse Practitioner 9335636422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Dermatology PCGroup PAC ID 1355305897, 6 clinicians

Practice addresses (Care Compare)

29 Taylor Ave
Suite 101
Crossville, TN 38555-4536
Phone (931) 484-6061

Hospital & facility affiliations

  • Cumberland Medical Center Hospital, Crossville, TN, CCN 440009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11036401FLMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Dermatology, P.C. CurrentSince Aug 4, 2025 Accepting new patients

Locations

567 S Willow Ave
Cookeville, TN 38501
Phone (931) 250-1932

29 Taylor Ave
Ste 101
Crossville, TN 38555
Phone (931) 484-6061

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1972318517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 NW 79TH TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241465",
            "telephone_number": "954-854-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 NW 79TH TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241465",
            "telephone_number": "954-854-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "LINDSAY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "11036401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.