Individual provider Active NPI

Anna Whaley Burke, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1306409768
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F04190486 Issued in MO
Practice address
3023 N Ballas Rd Ste 440
Saint Louis, MO 63131-2363
Phone
(314) 432-8181
Fax
(314) 432-0090
NPI assigned
Apr 20, 2019
Last updated
Jul 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 2009019252 MO
Family Nurse Practitioner 363LF0000X F04190486 MO Primary

Addresses

Primary practice location

3023 N Ballas Rd Ste 440
Saint Louis, MO 63131-2363

Mailing address

3023 N Ballas Rd Ste 440
Saint Louis, MO 63131-2363
Phone (314) 432-8181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210505001019 MO Practitioner - Nurse Practitioner 2062821945 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009019252MOMDCritical Care Medicine Registered Nurse
F04190486MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Medical and Wellness Consulting LLC CurrentSince Jun 1, 2021 Accepting new patients
Anstey Internal Medicine PC PastSince Jun 1, 2021 Accepting new patients
Consultants in Women's Healthcare, Inc. PastSince Jul 25, 2019 Accepting new patients
Washington University PastSince Jun 1, 2023 Accepting new patients

Locations

3009 N Ballas Rd
Ste 215B
Saint Louis, MO 63131
Phone (314) 432-1964

Interoperability endpoints

  • Direct secure messaging: anna.burke.1@33929.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1306409768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 N BALLAS RD STE 440",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312363",
            "telephone_number": "314-432-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 N BALLAS RD STE 440",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312363",
            "telephone_number": "314-432-8181",
            "fax_number": "314-432-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "ANNA",
        "middle_name": "WHALEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-20",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MO",
            "license": "2009019252",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F04190486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.