Patrick Allen Burke I

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

CRC058312 Issued in FL

Practice address

65 Saint Marks Rise Rd
Crawfordville, FL 32327-6006

Phone

(850) 545-3417

NPI assigned

Feb 13, 2014

Last updated

Feb 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1467876276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SAINT MARKS RISE RD",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323276006",
            "telephone_number": "850-545-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SAINT MARKS RISE RD",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323276006",
            "telephone_number": "850-545-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "PATRICK",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "FL",
            "license": "CRC058312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004407900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Marie Broga, L.M.T
• Christie Brooks, APRN
• Patrick Ryan Brooks, RN
• Aun-Drey Brown
• Vickie Diane Brown, CRT
• Caitlin Mary Burns
• Kathleen Gail Butler, D.C.
• Melissa Lea Cabe, APRN FNP-C
• Aida M Casto, ARNP
• Lori Christine Cate, M.P.T.

• Home Modifications Contractor in Crawfordville, FL
• Providers in Crawfordville, FL by specialty
• Home Modifications Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.