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KIM BURDICK WHCNP NPI 1558569665


NPI Information

NPI: 1558569665
Provider Name: KIM BURDICK, WHCNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Organization: PHYSICIAN ASSOCIATES OF SOUTHWEST DALLAS

PECOS Registration: Yes

Address:
122 W COLORADO BLVD
DALLAS, TX
ZIP 75208
Phone: (214) 947-6700
Get Directions

Kim Burdick, WHCNP is a women's health nurse practitioner in Dallas, TX with 22 years of experience. Kim Burdick, WHCNP NPI is 1558569665. 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:

122 W COLORADO BLVD
DALLAS, TX
ZIP 75208-382
Phone: (214) 947-6700
Fax: (214) 947-6701

The NPI 1558569665 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 7/10/2007 and was last updated on 5/3/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LW0102XNurse PractitionerWomen's HealthAP109765TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1042494706MEDICAIDTEXAS
2042494707MEDICAIDTEXAS
3042494708MEDICAIDTEXAS
4042494703MEDICAIDTEXAS
5042494705MEDICAIDTEXAS
6042494710MEDICAIDTEXAS
7042494711MEDICAIDTEXAS
8042494702MEDICAIDTEXAS
9042494704MEDICAIDTEXAS
10042494709MEDICAIDTEXAS
118Y2093OTHERTEXASBLUE CROSS BLUE SHIELD

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.