Vanessa Lee Spivey-Burke, MS, APRN,BC - GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

F340161-1 Issued in NY

Practice address

79 Middleville Rd
Northport, NY 11768-2200

Phone

(631) 261-4400

Fax

(631) 254-5132

NPI assigned

Apr 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1073578712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336-13 COMMACK RD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "11729",
            "telephone_number": "631-586-7246",
            "fax_number": "631-254-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-261-4400",
            "fax_number": "631-254-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY-BURKE",
        "first_name": "VANESSA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MS, APRN,BC - GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340161-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Sperandeo, LCSW
• John Lester Spezza, PT, DPT
• Nicole Spinelli
• John Spirito, PT, DPT
• Dennis Lance Spitz, MD
• Danielle Christine St John, OD
• Judith A Stamos, OTR/L
• Lorraine Marie Stamp, LCSW
• Melissa Stancanelli, PHARM.D.
• David Adam Stein

• Gerontology Nurse Practitioner in Northport, NY
• Providers in Northport, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.