Jacquelyn Burke, MS, RD, LDN

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

Practice address

Lahey Outpatient Center, Lexington
16 Hayden Avenue
Lexington, MA 02426

Phone

(617) 871-9640

NPI assigned

Nov 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1174093769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TRADECENTER DRIVE",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "02801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAHEY OUTPATIENT CENTER, LEXINGTON",
            "address_2": "16 HAYDEN AVENUE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "02426",
            "telephone_number": "617-871-9640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Lavalle Wellness",
            "address_2": "400 Tradecenter Drive",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "01801",
            "country_code": "US",
            "telephone_number": "617-871-9640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JACQUELYN",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86092747",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria M. Bunty, LIC. AC
• Dawn Elizabeth Burau, MA LMHC, ATR
• Kelley Burbine
• Alyson Burchill, M.S.
• Fay Burgess-Backert, MS OTR
• Kathleen R. Burke, PHD, RN, CS
• Ann Pawlowski Burnham, M.D.
• Alison Reimuller Burns, PHD
• Stephanie Nichole Burns, DPT
• Maria Lee Busa

• Obesity and Weight Management Nutrition Registered Dietitian in Lexington, MA
• Providers in Lexington, MA by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.