1. Home
  2. Directory
  3. Texas
  4. Lake Jackson
  5. Licensed Practical Nurse
  6. NPI Profile

BETTY BURGESS LVN
NPI 1871940346
Licensed Practical Nurse in Lake Jackson, TX

Active since May 15, 2016
107 MIMOSA ST, LAKE JACKSON, TX 77566(979) 665-2792 Get Directions Write a Review

NPPES record last updated: September 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2020, May 15, 2016 (2 updates tracked since 2016).

About Betty Burgess Lvn NPPES

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

BETTY BURGESS LVN (NPI 1871940346) is an individual licensed practical nurse in Lake Jackson, Texas, licensed in Texas (180236) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1871940346
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBETTY BURGESSCredential: LVN
Location Address107 MIMOSA STLake Jackson, TX 77566-5645
Mailing Address107 Mimosa StLake Jackson, TX 77566-5645 · (979) 665-2792
Phone(979) 665-2792
Sole ProprietorYes
Enumeration DateMay 15, 2016
Last NPPES UpdateSeptember 7, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2020
✔ NPI 1871940346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in TX · 180236
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
107 MIMOSA ST, Lake Jackson, TX 77566
Open in Google Maps ↗

Other Names 1

Former Name (1)Betty Carol Gandee Lvn

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 Betty Burgess's NPI number?

The NPI number for Betty Burgess is 1871940346. It was assigned to this individual provider in the NPPES registry on May 15, 2016. The provider is also known as Betty Carol Gandee Lvn.

Where is Betty Burgess located?

Betty Burgess practices at 107 Mimosa St, Lake Jackson, TX 77566. The listed phone number is (979) 665-2792.

What is Betty Burgess's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Betty Burgess was last updated on September 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.