Individual provider Active NPI

John R Burke, M.A. CCC-A

  • Audiologist
  • Steamboat Springs, CO
National Provider Identifier
1003039157
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
57 Issued in CO
Practice address
940 Central Park Dr
Suite 208
Steamboat Springs, CO 80487-8816
Phone
(970) 879-7286
Fax
(970) 879-7677
NPI assigned
Apr 10, 2007
Last updated
Aug 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 57 CO Primary

Addresses

Primary practice location

940 Central Park Dr
Suite 208
Steamboat Springs, CO 80487-8816

Mailing address

940 Central Park Dr
Suite 208
Steamboat Springs, CO 80487-8816
Phone (970) 879-7286

Other identifiers 1

IdentifierTypeStateIssuer
07789506MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120411000311 CO Practitioner - Qualified Audiologist 9234390691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

940 Central Park Dr
Suite 208
Steamboat Springs, CO 80487-8853
Phone (970) 879-7286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
57COMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Speech and Hearing Services Inc. Single Specialty CurrentSince Aug 22, 2017 Accepting new patients

Locations

940 Central Park Dr
Ste 208
Steamboat Springs, CO 80487
Phone (970) 879-7286

Networks

  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • NM HMO C-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1003039157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CENTRAL PARK DR",
            "address_2": "SUITE 208",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878816",
            "telephone_number": "970-879-7286",
            "fax_number": "970-879-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CENTRAL PARK DR",
            "address_2": "SUITE 208",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804878816",
            "telephone_number": "970-879-7286",
            "fax_number": "970-879-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.A. CCC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "CO",
            "license": "57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07789506",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.