Jacqueline Burke, FNP, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F351762-01 Issued in NY

Practice address

3231 Ampere Ave
Bronx, NY 10465-1063

Phone

(914) 374-6583

NPI assigned

Nov 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• The NP in Family Health Haven PLLC

  • Primary Care Clinic/Center
  • Bronx, NY
  • NPI 1750125332
  NPD Authorized official

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1346670668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 S 6TH AVE FL 1",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105504410",
            "telephone_number": "914-374-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 AMPERE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651063",
            "telephone_number": "914-374-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "FNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F351762-01",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "756699-1",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "315798-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE",
            "identifier": "315798-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerona Shellian Burke-James
• Lovlet Burke-Prince
• Christine Burke, MA
• Donna Ellen Burke
• Georgia Burke
• Kaedi Orisa-Nadia Burke, M.D.
• Nanette Burke
• Natasha L Burke, PHD
• Regina Burke, LCSW
• Robert E Burke, DNP, RN, FNP-BC, LAC

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.