Active NPI
Jaime Eugena Burke, HIS
- Hearing Instrument Specialist
- Farmington, NM
National Provider Identifier
1194997981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 0696
- Practice address
- 817 W Broadway
Suite a
Farmington, NM 87401-5699 - Phone
- (505) 326-5707
- Fax
- (505) 326-4026
- NPI assigned
- Apr 1, 2008
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 0696 | NM | Primary |
Addresses
Primary practice location
817 W Broadway
Suite a
Farmington, NM 87401-5699
Mailing address
817 W Broadway
Suite a
Farmington, NM 87401-5699
Phone (505) 326-5707
Other names 1
- Jaime Eugena Nichols
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0696 | NM | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J.T. Burke, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1194997981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 W BROADWAY",
"address_2": "SUITE A",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015699",
"telephone_number": "505-326-5707",
"fax_number": "505-326-4026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 W BROADWAY",
"address_2": "SUITE A",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015699",
"telephone_number": "505-326-5707",
"fax_number": "505-326-4026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "JAIME",
"middle_name": "EUGENA",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "NM",
"license": "0696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAIME",
"last_name": "NICHOLS",
"middle_name": "EUGENA",
"credential": "HIS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.