CLINT BURGESS NP
NPI 1447880299
Nurse Practitioner - Family in Mesa, AZ

Active since January 21, 2020
4463 E DES MOINES ST, MESA, AZ 85205(480) 766-9828 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2023, May 12, 2021, Jan 21, 2020 (3 updates tracked since 2020).

About Clint Burgess Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINT BURGESS NP (NPI 1447880299) is an individual family provider in Mesa, Arizona, licensed in Arizona (234960) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1447880299
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCLINT BURGESSCredential: NP
Location Address4463 E DES MOINES STMesa, AZ 85205-6340
Mailing Address4463 E Des Moines StMesa, AZ 85205-6340 · (480) 766-9828
Sole ProprietorNo
Enumeration DateJanuary 21, 2020
Last NPPES UpdateOctober 9, 20233 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
NPI 1447880299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in AZ · 234960 Licensed in AZ · TEMP234960
4463 E DES MOINES ST, Mesa, AZ 85205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clint Burgess's NPI number?

The NPI number for Clint Burgess is 1447880299. It was assigned to this individual provider in the NPPES registry on January 21, 2020.

Where is Clint Burgess located?

Clint Burgess practices at 4463 E Des Moines St, Mesa, AZ 85205. The listed phone number is (480) 766-9828.

What is Clint Burgess's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Clint Burgess was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.