Active NPI
Deirdre Johanna Burke, NP, MPH
- Primary Care Nurse Practitioner
- Burlington, MA
National Provider Identifier
1013683804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN2337925
- Practice address
- 101 Cambridge St Ste 380
Burlington, MA 01803-3741 - Phone
- (781) 653-4281
- NPI assigned
- Aug 20, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN2337925 | MA | Primary |
Addresses
Primary practice location
101 Cambridge St Ste 380
Burlington, MA 01803-3741
Mailing address
17 Myopia Rd
Stoneham, MA 02180-2271
Phone (781) 572-2375
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | deirdre.burke@skylighthealthgroup.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2337925 | MA | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1013683804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 MYOPIA RD",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021802271",
"telephone_number": "781-572-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CAMBRIDGE ST STE 380",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018033741",
"telephone_number": "781-653-4281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "DEIRDRE",
"middle_name": "JOHANNA",
"credential": "NP, MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MA",
"license": "RN2337925",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "deirdre.burke@skylighthealthgroup.com",
"affiliation": "N",
"endpointDescription": "encrypted email- [send secure]",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "101 Cambridge St Ste 380",
"city": "Burlington",
"state": "MA",
"country_code": "US",
"postal_code": "018033741",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.