NPI age
13 years
Enumerated 2013-05-21
● Active
Type 1 · Individual
Charity Joy Burkhardt, PA
Burkhardt is 1 of 36 physician assistant providers in Southlake and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-08-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11022 active physician assistant providers in Texas.
NPI age
13 years
↑ 3 yr above median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-05Enumerated in NPPES
2013
2026
Where they practice
Practice location
3065 W Southlake Blvd # 140
Southlake, TX 760926730
Mailing address
801 York St
Manitowoc, WI 542204630
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | S0201078 | DPS CERTIFICATE NUMBER |
| 01 (TX) | PA08610 | STATE LICENSE NUMBER |
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.