NPivot
Mariah Burnell is one of 25 family medicine physicians practicing in Southlake, Texas .
Mariah Burnell practices with Medhealth.
Registry record (NPPES)
NPI
1376084996
Type
Type 1 · Individual
Primary taxonomy
Family Medicine · 207Q00000X
Address on file
3055 W Southlake Blvd Ste 100 Southlake, TX 76092-6730 (682) 593-7639
Enumerated
Mar 15, 2017
Record last updated
Jan 16, 2023
License states listed
MI, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXFamily Practice
Revalidation due
No date set by CMS
The registry stops here. NPivot keeps going.
Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
See the full profile free
Free account. No card, no call.
Practice locations
3055 W Southlake Blvd Suite 100
Southlake , TX 76092
(682) 593-7639
5224 S State Hwy 360
Grand Prairie , TX 75052
(972) 522-0691
More family medicine physicians in Southlake
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
NPivot · NPI lookup & provider intelligence
NPivot uses data from public CMS, NPPES & HRSA sources and is not affiliated with, endorsed by, or sponsored by CMS, HRSA, or any government agency. © 2026 NPivot · a Next Tier Careers product.