Laura Ann A Burk

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

RN78669 Issued in ME

Practice address

Everest Recovery Center
16 Association Drive
Manchester, ME 04351

Phone

(508) 654-1282

NPI assigned

Apr 18, 2023

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 18, 2023.

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1043907405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EVEREST RECOVERY CENTER",
            "address_2": "16 ASSOCIATION DRIVE",
            "city": "MANCHESTER",
            "state": "ME",
            "postal_code": "04351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EVEREST RECOVERY CENTER",
            "address_2": "16 ASSOCIATION DRIVE",
            "city": "MANCHESTER",
            "state": "ME",
            "postal_code": "04351",
            "telephone_number": "508-654-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "A BURK",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "RN78669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy R Allard, PT
• Christopher Andrade, PHARM D.
• Christopher Paul Beaudoin, LCSW
• David W Benoit, DC
• Jacobus Blom

• All providers in Manchester, ME
• Addiction (Substance Use Disorder) Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.