KELLEY BURCHAK (NPI# 1366054181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366054181 |
| Entity Type | Individual |
| Full Name | KELLEY BURCHAK |
| Credential | NP |
| Practice Address |
4055 Valley View Ln Ste 400 Dallas TX 75244-5071 |
| Mailing Address |
4212 Del Norte Dr Arlington TX 76016-4602 |
| Practice Telephone | 6822131381 |
| Mailing Telephone | 6822131381 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP140616 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4055 VALLEY VIEW LN STE 400 |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-5071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952302903 | Diane T Bennett | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2005-08-02 |
| 1881291151 | Aliya Maria Young | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-10-08 |
| 1194332098 | Liyenni Gonzalez | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-09-25 |
| 1245846963 | Abigail Elizabeth Mcintosh | Registered Nurse | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-09-17 |
| 1619582087 | Folake Orehin | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-09-12 |
| 1740895465 | Victoria Adigun | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-09-10 |
| 1699387852 | Jennifer R. Sells | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-08-19 |
| 1932719606 | Jenny Garner Tharp | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-08-06 |
| 1912524950 | Christina Roberts | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-06-25 |
| 1508481516 | Oluwakemi Opeoluwa Adeyemi | Nurse Practitioner | 4055 Valley View Ln Ste 400, Dallas, TX 75244-5071 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| 1972157436 | Samantha Lograsso | Nurse Practitioner | 4055 Valley View Ln Suite 400, Dallas, TX 75244 | 2019-08-01 |
| 1205313780 | Cherae Ashland Burton | Licensed Vocational Nurse | 4099 Mcewen Rd., Farmers Branch, TX 75244 | 2018-07-26 |
| 1700383197 | Melissa Fitts | Behavioral Analyst | 13604 Midway Rd. #180, Farmers Branch, TX 75244 | 2018-04-11 |
| 1932607983 | Vcphcs, Lp | Clinic/Center | 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 | 2018-01-24 |
| 1518406636 | Gentech Laboratories LLC | Clinical Medical Laboratory | 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 | 2017-02-22 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1376992792 | Lynnlie Tuschoff | Registered Nurse | 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 | 2016-06-07 |
| 1609223072 | Debra Jules | Licensed Vocational Nurse | 4099 Mcewen Road, Dallas, TX 75244 | 2016-05-16 |
| Find all providers in zip 75244 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730409 | Cheryl Lynn Williams | Nurse Practitioner | 282 Somerset Dr, Dallas, GA 30132-9761 | 2020-11-04 |
| 1699376723 | David James Wainwright | Nurse Practitioner | 3838 Rawlins St Apt 212, Dallas, TX 75219-4247 | 2020-11-04 |
| 1528668860 | Nicole Chadwick | Nurse Practitioner | 14332 Montfort Dr Apt 7306, Dallas, TX 75254-1911 | 2020-10-27 |
| 1952901415 | Melissa Green | Nurse Practitioner | 2301 Cedar Springs Rd Ste 405, Dallas, TX 75201-7869 | 2020-10-26 |
| 1194324640 | Busola Stella Amurawaiye | Nurse Practitioner | 14232 Dallas Pkwy Apt 1614, Dallas, TX 75254-2934 | 2020-10-25 |
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1689288276 | Chinyere Ezeh | Nurse Practitioner | 11700 Audelia Rd Apt 2031, Dallas, TX 75243-4731 | 2020-09-01 |
| 1992317341 | Modern Enhancement | Nurse Practitioner | 2777 N Stemmons Fwy Ste 1141, Dallas, TX 75207-2273 | 2020-08-18 |
| 1679183172 | Stacie Teresa Mccally | Nurse Practitioner | 4055 Valley View Lane, Dallas, TX 75022 | 2020-08-09 |
| 1528678083 | Esther Siriba | Nurse Practitioner | 9304 Forest Ln Ste N244, Dallas, TX 75243-6238 | 2020-08-08 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.