Individual provider Active NPI

Courtney Burke, RN

  • Plastic Surgery Registered Nurse
  • Atlanta, GA
National Provider Identifier
1073254090
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Registered NurseTaxonomy code 163WS0121X
License
RN279479 Issued in GA
Practice address
980 Johnson Fy Rd NE Ste 110
Atlanta, GA 30342-1607
Phone
(404) 303-7004
Fax
(404) 303-7020
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Registered Nurse 163WS0121X RN279479 GA Primary

Addresses

Primary practice location

980 Johnson Fy Rd NE Ste 110
Atlanta, GA 30342-1607

Mailing address

980 Johnson Fy Rd NE Ste 110
Atlanta, GA 30342-1607
Phone (404) 303-7004

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN279479GAMDPlastic Surgery Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1073254090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FY RD NE STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421607",
            "telephone_number": "404-303-7004",
            "fax_number": "404-303-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FY RD NE STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421607",
            "telephone_number": "404-303-7004",
            "fax_number": "404-303-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "COURTNEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "GA",
            "license": "RN279479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.