TERESA LYNN BURKS NP APN NPI 1235120486

NPI Information

NPI: 1235120486
Provider Name: TERESA LYNN BURKS, NP, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5251 W CAMPBELL AVE
PHOENIX, AZ
ZIP 85031
Phone: (623) 547-5253
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Teresa Lynn Burks, NP, APN is a family nurse practitioner in Phoenix, AZ. Teresa Lynn Burks, NP, APN NPI is 1235120486. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5251 W CAMPBELL AVE
PHOENIX, AZ
ZIP 85031-715
Phone: (623) 547-5253
Fax: (623) 533-6271

The NPI 1235120486 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/4/2005 and was last updated on 8/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209006576	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	AP7768	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	$$$$$$$$$001	MEDICAID	ILLINOIS
2	P00842835	OTHER	ILLINOIS	RAILROAD MEDICARE
3	P31977	MEDICARE UPIN	ILLINOIS
4	705150	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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