Active NPI
Lindsay Regnery Burke, MSN, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Boulder, CO
National Provider Identifier
1083990121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RXN.0100543-NP
- Practice address
- 1621 16TH St
Boulder, CO 80302-6325 - Phone
- (312) 485-1390
- NPI assigned
- Nov 2, 2011
- Last updated
- Feb 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RXN.0100543-NP | CO | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.0990404-NP | CO |
Addresses
Primary practice location
1621 16TH St
Boulder, CO 80302-6325
Mailing address
1621 16TH St
Boulder, CO 80302-6325
Phone (303) 335-5783
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0990404-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| RXN.0100543-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1083990121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 16TH ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803026325",
"telephone_number": "303-335-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 16TH ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803026325",
"telephone_number": "312-485-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "LINDSAY",
"middle_name": "REGNERY",
"credential": "MSN, PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "RXN.0100543-NP",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "APN.0990404-NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.