KELLIE NICOLE BURROUGHS (NPI# 1396366613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396366613 |
| Entity Type | Individual |
| Full Name | KELLIE NICOLE BURROUGHS |
| Credential | APRN |
| Practice Address |
2027 S 61st St Ste 107 Temple TX 76504-6856 |
| Mailing Address |
420 W Slaughter Ln Apt 1033 Austin TX 78748-1756 |
| Practice Telephone | 2542285284 |
| Mailing Telephone | 4108298804 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP145721 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2027 S 61ST ST STE 107 |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-6856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144670910 | Morie Smith | Audiologist | 2027 S 61st St Ste 107, Temple, TX 76504-6856 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702273 | Maria De La Luz Hernandez | Nurse Practitioner | 507 Marlandwood Rd Apt 1121, Temple, TX 76502-3695 | 2020-08-25 |
| 1396366365 | Fely Valentin | Nurse Practitioner | 5003 Ledgestone Trl, Temple, TX 76502-7967 | 2020-05-01 |
| 1669020756 | Guillermo E Carnegie | Nurse Practitioner | 5617 Hopkins Dr, Temple, TX 76502-5754 | 2019-08-31 |
| 1689147449 | Valerie Laroco | Nurse Practitioner | 404 S Fryers Creek Cir Apt 915, Temple, TX 76504-7583 | 2019-01-04 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| 1659382331 | Colleen F Oakes | Nurse Practitioner | 1901 So. 5th Street, Temple, TX 76504 | 2006-08-10 |
| 1184260952 | Kylie J Lin | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2019-11-26 |
| 1184193997 | Brittney Shanyce Smith | Nurse Practitioner | 1713 Sw H K Dodgen Loop Ste 100, Temple, TX 76502-1836 | 2018-11-21 |
| 1952879389 | Mana Z Agbonghae | Nurse Practitioner | 1901 Veterans Memorial Dr, Temple, TX 76504-7451 | 2018-11-03 |
| 1255887717 | Susanna Elyse Vasquez | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2016-08-25 |
| Find all providers in TEMPLE | ||||
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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.