Individual provider Active NPI

Brenda Lee Burke, MSW., CPM

  • Midwife
  • Decorah, IA
National Provider Identifier
1417143751
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
100-049 Issued in WI
Practice address
720 W Main St
Decorah, IA 52101-1626
Phone
(563) 382-0178
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

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.

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

LicenseStateTypeSpecialty
006838IAMDClinical Social Worker
100-049WIMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 100-049 WI Primary
Clinical Social Worker 1041C0700X 006838 IA

Addresses

NPPES NPI Registry

Primary practice location

720 W Main St
Decorah, IA 52101-1626

Mailing address

720 W Main St
Decorah, IA 52101-1626
Phone (563) 382-0178

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2011.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1417143751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W MAIN ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521011626",
            "telephone_number": "563-382-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W MAIN ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521011626",
            "telephone_number": "563-382-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MSW., CPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "WI",
            "license": "100-049",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "006838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decorah, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.