Individual provider Active NPI

Brooke McClendon Burks, ARNP, NNP-BC, MSN

  • Neonatal Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1417036807
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
R0077152 Issued in OK
Practice address
4300 W Memorial Rd
5TH Floor Neonatal Intensive Care Unit
Oklahoma City, OK 73120-8304
Phone
(405) 822-8898
Fax
(405) 752-3975
NPI assigned
Nov 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X R0077152 OK Primary

Addresses

Primary practice location

4300 W Memorial Rd
5TH Floor Neonatal Intensive Care Unit
Oklahoma City, OK 73120-8304

Mailing address

900 N Porter
Suite 208a
Norman, OK 73071-6425
Phone (405) 822-8898

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
R0077152OKMDNeonatal Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1417036807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N PORTER",
            "address_2": "SUITE 208A",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716425",
            "telephone_number": "405-822-8898",
            "fax_number": "405-579-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MEMORIAL RD",
            "address_2": "5TH FLOOR NEONATAL INTENSIVE CARE UNIT",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208304",
            "telephone_number": "405-822-8898",
            "fax_number": "405-752-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKS",
        "first_name": "BROOKE",
        "middle_name": "MCCLENDON",
        "name_prefix": "Mrs.",
        "credential": "ARNP, NNP-BC, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "OK",
            "license": "R0077152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.