JUSTIN BURNS (NPI# 1265057632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265057632 |
| Entity Type | Individual |
| Full Name | JUSTIN BURNS |
| Credential | PA-C |
| Practice Address |
805 Hill Blvd Unit 104 Granbury TX 76048-1482 |
| Mailing Address |
3405 Riverstone Cir E Apt 213 Fort Worth TX 76116-0846 |
| Practice Telephone | 8175735688 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA13724 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386122596 | Justin Burns | Counselor | 590 Ellis Rd S, Jacksonville, FL 32254-3555 | 2018-07-31 |
| 1114156387 | Justin D Burns | Chiropractor | 308 Broadway St, Audubon, IA 50025-1104 | 2009-07-09 |
| 1578778262 | Justin Burns | Dentist | 909 Walnut St, 300 Cob, Philadelphia, PA 19107-5211 | 2007-05-14 |
| 1780712042 | Justin Burns | Transplant Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2007-03-01 |
| Street Address |
805 HILL BLVD UNIT 104 |
| City | GRANBURY |
| State | TX |
| Zip Code | 76048-1482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780930 | Charles Brooks Smith | Family Medicine | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2005-06-15 |
| 1497370381 | Bethany Lyn Dempsey | Physician Assistant | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2020-06-16 |
| 1437627221 | Brooke Ann Grawet | Family Medicine | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2018-11-09 |
| 1861922676 | Ashleigh Carol Robertson | Nurse Practitioner | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2017-06-14 |
| 1740502608 | Michelle Yvonne Singh | Physician Assistant | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2010-02-19 |
| 1558459297 | C. Brooks Smith M.d. & Associates | Family Medicine | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689213415 | Tena Lee Wood I | Licensed Practical Nurse | 302 S. Crites Granbury Tx. 76048, 302 S. Crites Granbury Tx. 76048, Granbury, TX 76048 | 2019-12-26 |
| 1811456593 | Laura Nicole Graham | Counselor | 2101 West Pearl Street, Granbury, TX 76048 | 2019-03-13 |
| 1477000974 | Globalrehab - Fort Worth, Lp | Rehabilitation Hospital | 805 Hill Blve, Ste 109, Granbury, TX 76048 | 2016-09-01 |
| 1780130245 | Rachel Diane Rouse | Counselor | 1903 W Pearl Street, Granbury, TX 76048 | 2016-08-25 |
| 1477946648 | Adriana Brown | Nurse Practitioner | 805 Hill Blvd., #104, Granbury, TX 76048 | 2015-03-12 |
| 1407261233 | Rogers King Coleman | General Practice | 1411 Crawford Street, Granbury, TX 76048 | 2014-07-01 |
| 1891115176 | Trinity Nursing and Rehabilitation of Granbury, Lp | Skilled Nursing Facility | 600 Reunion Court, Granbury, TX 76048 | 2014-04-24 |
| 1639507122 | Kayelen Helton | Counselor | 807 Paluxy Road, Granbury, TX 76048 | 2013-10-22 |
| 1013257799 | Pecan Valley Mhmr Region | Counselor | 2101 W. Pearl St., Granbury, TX 76048 | 2013-02-18 |
| 1114240223 | Talbot Green Mccormick Jr. | General Practice | 2306 Cologne Dr., Granbury, TX 76048 | 2010-03-03 |
| Find all providers in zip 76048 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871675348 | Lisa Blair | Physician Assistant | 1310 B Paluxy Road, Suite 2000, Granbury, TX 76048 | 2006-10-20 |
| 1932183464 | Charles Darren Rape | Physician Assistant | 1308 Paluxy Rd Ste 203e, Granbury, TX 76048-5689 | 2005-11-29 |
| 1780681486 | John Everett Carter | Physician Assistant | 2200 James Rd, Granbury, TX 76049-8207 | 2005-07-07 |
| 1497370381 | Bethany Lyn Dempsey | Physician Assistant | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2020-06-16 |
| 1447600333 | Crissie Alayne Brock | Physician Assistant | 2800 Village Rd, # 108, Granbury, TX 76049-4193 | 2016-06-21 |
| 1245698828 | Lauren Michelle Amburgey | Physician Assistant | 805 Hill Blvd, Suite #102, Granbury, TX 76048-1481 | 2016-02-10 |
| 1811314628 | Chad Pacanowski | Physician Assistant | 805 Hill Blvd, Suite #102, Granbury, TX 76048-1481 | 2014-03-19 |
| 1740502608 | Michelle Yvonne Singh | Physician Assistant | 805 Hill Blvd Unit 104, Granbury, TX 76048-1482 | 2010-02-19 |
| 1346491446 | Jennifer D Erwin | Physician Assistant | 1209 Medical Plaza Ct, Granbury, TX 76048-5684 | 2008-10-07 |
| 1407006117 | Philip Oran Adams | Physician Assistant | 1310 Paluxy Rd, Granbury, TX 76048-5655 | 2008-09-30 |
| Find all providers in GRANBURY | ||||
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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.