Active NPI
Carol L Burke, CRNA
- Certified Registered Nurse Anesthetist
- Grosse Pointe, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704228783
- Practice address
- 468 Cadieux Rd
Grosse Pointe, MI 48230-1507 - Phone
- (313) 473-1000
- NPI assigned
- Jan 11, 2008
- Last updated
- Oct 12, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704228783 | MI | Primary |
Addresses
Primary practice location
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Mailing address
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1000
Other practice location 1
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-5806
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carol.burke@beaumont.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH, FL
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
205 N E Ave
Jackson, MI 49201-1753
205 S E Ave
Henry Ford Allegiance Digestive HLT
Jackson, MI 49201-2413
Phone (517) 205-2103
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704228783 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Physician Solutions of South Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Eastside Group LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| PSJ Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of South Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of South Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lima Memorial Professional Corporation | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Dayton Anesthesia & Pain Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| William Beaumont Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| William Beaumont Hospital | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| McLaren Port Huron | Past | Accepting new patients |
Locations
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
468 Cadieux Rd
Grosse Pointe Woods, MI 48230
Phone (313) 343-1000
205 S East Ave
Jackson, MI 49201
Phone (517) 205-2103
17700 23 Mile Rd
Ste 250
Macomb, MI 48044
Phone (586) 416-7500
3601 W 13 Mile Rd
Royal Oak, MI 48073
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
28963 Little Mack Ave
Ste 10
St Clr Shores, MI 48081
Phone (586) 447-5110
28963 Little Mack Ave
Ste 103
St Clr Shores, MI 48081
Phone (586) 416-7501
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
L3982
Columbus, OH 43260
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335
265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549
Interoperability endpoints
- cburke1030674@direct.hfhs.org
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Allegiance Health
- Certified Registered Nurse Anesthetist
- Jackson, MI
- NPI 1598776718
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint Clair Shores, MI
- NPI 1235365289
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1275905796
Nurse Anesthetist, Certified Registered
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Miami, FL
- NPI 1104248699
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1629401898
Nurse Anesthetist, Certified Registered
-
- Specialist
- Lima, OH
- NPI 1457474900
-
- Pain Medicine (Anesthesiology) Physician
- Irving, TX
- NPI 1972126209
MI, Nurse Anesthetist, Certified Registered
-
dba Henry Ford Allegiance Health
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
-
- Anesthesiology Physician
- Tamarac, FL
- NPI 1366864852
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1437823507
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henry Ford Allegiance Health
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1194901835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "468 CADIEUX RD",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482301507",
"telephone_number": "313-473-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 CADIEUX RD",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "482301507",
"telephone_number": "313-473-1000"
}
],
"practiceLocations": [
{
"address_1": "16001 W 9 Mile Rd",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480754818",
"country_code": "US",
"telephone_number": "248-849-5806",
"fax_number": "248-849-5489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKE",
"first_name": "CAROL",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-11",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704228783",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "carol.burke@beaumont.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "468 Cadieux Rd",
"city": "Grosse Pointe",
"state": "MI",
"country_code": "US",
"postal_code": "482301507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grosse Pointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.