Individual provider Active NPI

Deirdre Johanna Burke, NP, MPH

  • Primary Care Nurse Practitioner
  • Burlington, MA
National Provider Identifier
1013683804
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN2337925 Issued in MA
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

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
RN2337925MAMDPrimary 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.

Verify at the official NPI Registry.