Gloria L. Burdett, M.S., PMHCNS-BC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

RN100851 Issued in MA

Practice address

37 Friend St.
Elder Service Plan of the North Shore
Lynn, MA 01902

Phone

(781) 715-6608

Fax

(781) 715-6699

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Gloria E. Shapiro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Element Care, Inc.

  • PACE Provider Organization
  • Lynn, MA
  • NPI 1184600660
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1164561437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 FRIEND ST.",
            "address_2": "ELDER SERVICE PLAN OF THE NORTH SHORE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01902",
            "telephone_number": "781-715-6608",
            "fax_number": "781-715-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 FRIEND ST.",
            "address_2": "ELDER SERVICE PLAN OF THE NORTH SHORE",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01902",
            "telephone_number": "781-715-6608",
            "fax_number": "781-715-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDETT",
        "first_name": "GLORIA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "M.S., PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "052943-23-08",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "052943-23",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "RN100851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "SHAPIRO",
            "middle_name": "E.",
            "prefix": "MS.",
            "credential": "M.S., A.P.R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krista Bucko
• Mary J Bucko, P.T.A.
• Yudelka Bueno
• Tramanh Bui
• Luisa Maria Buitrago
• Vaneza Burgos
• Brenda Marie Burke Elder, LICSW
• Margaret M Burke-Carmen, C.R.N.A.
• Daniel Burke, PA-C
• Emily Burke, LICSW

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Lynn, MA
• Providers in Lynn, MA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.