Destiny Burke

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703128762 Issued in MI

Practice address

4245 S Grand Canyon Dr Ste 226
Las Vegas, NV 89147-7162

Phone

(702) 751-0356

NPI assigned

May 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1417640848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 S GRAND CANYON DR STE 226",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477162",
            "telephone_number": "702-751-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 S GRAND CANYON DR STE 226",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477162",
            "telephone_number": "702-751-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "DESTINY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703128762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burke Spinal Care, LTD
• Burke Spinal Care, LTD
• Belinda Kay Burke, LRC, CHW
• Catherine Burke, M.A.
• Courtney Michelle Burke, APRN
• Dina Santo Tomas Burke, MD
• Dustin Carl Burke
• Edward Jerome Burke, MD
• Homer Burke
• Irene Burke, M.A.

• Licensed Practical Nurse in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Licensed Practical Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.