Colleen Ann Burke, BA
Individual provider Active NPI Community Health Worker · Athol, MA
NPI 1417514142 · NPPES record last updated May 29, 2019
Key facts
- NPI
- 1417514142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 26 Ellsworth St
Athol, MA 01331-2013 - Phone
- (401) 368-9964
- NPI assigned
- May 29, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
26 Ellsworth St
Athol, MA 01331-2013
Mailing address
258 Old Lyman Rd
South Hadley, MA 01075-2653
Other providers in Athol, MA
- Trevor Bray-Bustos
- Margaret A Britt
- Julienne Bronakowski
- Leeann Brown
- Kathleen Anne Buckley
- Heidi Mae Burke
- Melissa Campbell
- Mady Katherine Caron
- Meaghan Elizabeth Carr
- Tricia Carrier
All providers in Athol, MA · Community Health Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.