JACQUELINE PRICE BURNETTE (NPI# 1801149661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801149661 |
| Entity Type | Individual |
| Full Name | JACQUELINE PRICE BURNETTE |
| Other Name | JACQUELINE PRICE ANDERSON |
| Credential | RN FNP-BC |
| Practice Address |
753 E Travis St La Grange TX 78945-2353 |
| Mailing Address |
Po Box 1251 La Grange TX 78945-8251 |
| Practice Telephone | 9799682000 |
| Practice Fax Number | 9799682001 |
| Mailing Telephone | 9799682000 |
| Mailing Fax Number | 9799682001 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
567379 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2801 Franciscan Dr, Bryan, TX 778022544 | 9797763777 | 9797765914 |
| Street Address |
753 E TRAVIS ST |
| City | LA GRANGE |
| State | TX |
| Zip Code | 78945-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293555 | Lana Khazma El-asha | Dentist | 753 E Travis St, La Grange, TX 78945-2353 | 2020-07-28 |
| 1033675038 | Kristen Kinney | Nurse Practitioner | 753 E Travis St, La Grange, TX 78945-2353 | 2019-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406739 | Lisa Faye Cummings | Pharmacist | 1915 W. St. Hwy 71 Business, La Grange, TX 78945 | 2020-10-30 |
| 1326515750 | Teresa Kay Carmack | Occupational Therapist | Care Inn of La Grange, 457 N. Main Street, La Grange, TX 78945 | 2018-10-24 |
| 1417496415 | Fresh Smiles Pllc | Dentist | 2001 W. St Hwy 71, Suite 20, La Grange, TX 78945 | 2017-02-23 |
| 1871031443 | Debra Kay Hall | Physical Therapist | 530 W. Lafayette St, Lagrange, TX 78945 | 2017-02-03 |
| 1467840348 | Veronica Olivares-garza | Occupational Therapist | 260 West Live Oak St, La Grange, TX 78945 | 2014-12-31 |
| 1265843874 | Kinuyo Henderson | Family Medicine | 1253 N. Von Minden, La Grange, TX 78945 | 2014-05-16 |
| 1861678880 | Fayette County | Health Maintenance Organization | 151 N Washington St Rm 301, La Grange, TX 78945 | 2008-01-22 |
| 1023215480 | Charlotte Blauert Reilly | Nurse Anesthetist, Certified Registered | 1 St. Marks Place, La Grange, TX 78945 | 2007-06-29 |
| 1770639379 | Sage Professional Consulting Corporation | Psychologist | Two Saint Mark's Pl Ste 147, La Grange, TX 78945 | 2007-01-26 |
| 1457416489 | Timothy Long | Chiropractor | 464 E Guadalupe, La Grange, TX 78945 | 2006-12-27 |
| Find all providers in zip 78945 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880932 | Sarah Martin | Nurse Practitioner | 2 Saint Marks Pl Ste 160, La Grange, TX 78945-1253 | 2018-08-09 |
| 1053850370 | Lauren Nicole Wimsatt | Nurse Practitioner | 1808 Fort Pickens Rd, La Grange, KY 40031-8707 | 2017-02-20 |
| 1467803825 | Susan Sanford | Nurse Practitioner | 3505 Potomac Ct, La Grange, KY 40031-9650 | 2016-06-28 |
| 1376914887 | Megan J Regal | Nurse Practitioner | 1031 New Moody Ln Ste 300, La Grange, KY 40031-9178 | 2015-10-09 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1780935684 | Jacqueline E Trcka | Nurse Practitioner | 4727 Willow Springs Rd Ste 3s, La Grange, IL 60525-6153 | 2012-10-02 |
| 1366636904 | Curtiss Surgical Assistants LLC. | Nurse Practitioner | 4707 Heron View Pl, La Grange, KY 40031-6709 | 2007-08-28 |
| 1982730917 | Allison Fields Bowen | Nurse Practitioner | 1023 New Moody Ln Ste 201, La Grange, KY 40031-9181 | 2007-02-26 |
| 1144854456 | Melissa Rene Wilkerson | Nurse Practitioner | 1612 Dawkins Rd, La Grange, KY 40031-8729 | 2020-02-25 |
| 1033675038 | Kristen Kinney | Nurse Practitioner | 753 E Travis St, La Grange, TX 78945-2353 | 2019-02-14 |
| Find all providers in LA GRANGE | ||||
Please comment or provide details below to improve the information on JACQUELINE PRICE BURNETTE.
| 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.