Individual provider Active NPI

Rebecca Charlotte Burke, WHNP-BC

  • Women's Health Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1255845756
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R206652 Issued in MD
Practice address
10801 Lockwood Dr Ste 300
Silver Spring, MD 20901-1562
Phone
(301) 681-0004
NPI assigned
Nov 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R206652 MD Primary

Addresses

Primary practice location

10801 Lockwood Dr Ste 300
Silver Spring, MD 20901-1562

Mailing address

5710 Detrick Rd
Mount Airy, MD 21771-6132
Phone (240) 372-5014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180620000554 DC Practitioner - Nurse Practitioner 8426303256 Reassigns benefits to 1 organization
I20181029002206 MD Practitioner - Nurse Practitioner 8426303256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Medical Group IncGroup PAC ID 7416037924, 77 clinicians

Practice addresses (Care Compare)

4 E Rolling Crossroads
Suite 110
Catonsville, MD 21228-6277
Phone (410) 744-9073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R206652MDMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Perinatal Richard Broth MD PC CurrentSince May 15, 2018 Accepting new patients
St Agnes Healthcare Inc CurrentSince Sep 4, 2018 Accepting new patients
St Agnes Healthcare Inc CurrentSince Sep 4, 2018 Accepting new patients
Seton Medical Group, Inc CurrentSince Jan 8, 2019 Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

3449 Wilkens Ave
Ste 305
Baltimore, MD 21229
Phone (410) 368-8685

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

4 E Rolling Xrds
Ste 110
Catonsville, MD 21228
Phone (410) 368-2600

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

10801 Lockwood Dr
Ste 300
Silver Spring, MD 20901
Phone (301) 681-0004

Organizations & group practices 4

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": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1255845756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 DETRICK RD",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217716132",
            "telephone_number": "240-372-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR STE 300",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011562",
            "telephone_number": "301-681-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "REBECCA",
        "middle_name": "CHARLOTTE",
        "name_prefix": "Ms.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R206652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.