TIFFANY DAWN BURKE (NPI# 1417036104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417036104 |
| Entity Type | Individual |
| Full Name | TIFFANY DAWN BURKE |
| Credential | ARNP, FNP |
| Practice Address |
1312 N 1st Ave Durant OK 74701-2810 |
| Practice Telephone | 5809202069 |
| Practice Fax Number | 8664042313 |
| Mailing Telephone | 5809202069 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R0084153 | OK | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP115719 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1309 S University Dr, Nacogdoches, TX 759616486 | 9365605668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023408952 | Tiffany Burke | Licensed Practical Nurse | 31 Congress Ave, Rochester, NY 14611-4044 | 2015-01-30 |
| 1447586276 | Tiffany Ann Burke | Physician Assistant | 3050 Hamilton Blvd. Ste 105, Allentown, PA 18103 | 2009-10-29 |
| 1386981934 | Tiffany Noelle Burke | Counselor | 1129 Macklind Avenue, St Louis, MO 63110-1440 | 2013-01-15 |
| Street Address |
1312 N 1ST AVE |
| City | DURANT |
| State | OK |
| Zip Code | 74701-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750080 | Leslee Brooke Cummins-meade | Case Manager/Care Coordinator | 1312 N 1st Ave, Durant, OK 74701-2810 | 2020-11-02 |
| 1750914768 | James Robert Wilson | Case Manager/Care Coordinator | 1312 N 1st Ave, Durant, OK 74701-2810 | 2020-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144585639 | Alexander C Roby | Family Medicine | 5109 Valley View Dr, Durant, OK 74701-7742 | 2012-07-10 |
| 1629332952 | Timothy Ryan Newton | Family Medicine | 424 N 2nd Ave, Durant, OK 74701-4116 | 2012-07-02 |
| 1497843676 | Wirt Fletcher Shrock Jr. | Family Medicine | 630 Northwest Ave, Durant, MS 39063-3337 | 2006-10-11 |
| 1962432625 | Gastorf Family Clinic PC | Family Medicine | 1004 N 19th Ave Bldg 2, Durant, OK 74701-3017 | 2006-07-05 |
| 1952339558 | Kd Family Care Center Pllc | Family Medicine | 720 Bryan Dr, Suite A, Durant, OK 74701-7032 | 2006-06-30 |
| 1669467312 | Phyllis Pyrum Engles | Family Medicine | 1802 Radio Rd, Durant, OK 74701-2006 | 2005-09-19 |
| 1619961943 | Chris L Sturch | Family Medicine | 1727 Chuckwa Dr, Suite 500, Durant, OK 74701-2151 | 2005-09-01 |
| 1821090572 | David W Dillow | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2005-08-12 |
| 1124020193 | Michael A Lee | Family Medicine | 1708 Delivery Lane, Durant, OK 74701-3016 | 2005-08-10 |
| 1386649341 | Jennifer R Aanestad | Family Medicine | 619 5th St, Durant, IA 52747-7737 | 2005-06-16 |
| Find all providers in DURANT | ||||
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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.