Active NPI
Glenda Burnett
- Funeral Director
- Oklahoma City, OK
National Provider Identifier
1972694776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Funeral Director
- License
- 73159T
- Practice address
- 10501 White Oak Canyon Rd
Oklahoma City, OK 73162-6663 - Phone
- (405) 416-6763
- NPI assigned
- Sep 27, 2006
- 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 |
|---|---|---|---|---|
| Funeral Director | 176P00000X | 73159T | OK | Primary |
Addresses
Primary practice location
10501 White Oak Canyon Rd
Oklahoma City, OK 73162-6663
Mailing address
10501 White Oak Canyon Rd
Oklahoma City, OK 73162-6663
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73159T | OK | MD | Funeral Director |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972694776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10501 WHITE OAK CANYON RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731626663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10501 WHITE OAK CANYON RD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731626663",
"telephone_number": "405-416-6763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "GLENDA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "176P00000X",
"taxonomy_group": "",
"desc": "Funeral Director",
"state": "OK",
"license": "73159T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.