Individual provider Active NPI

Shayna Beth Burke, M.D.

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • West Hartford, CT
National Provider Identifier
1609078708
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
050699 Issued in CT
Practice address
928 Farmington Ave
West Hartford, CT 06107-2227
Phone
(860) 233-6293
Fax
(860) 236-7223
NPI assigned
Jun 1, 2007
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 050699 CT
Pediatrics Physician 208000000X LP01038 RI
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X 050699 CT Primary

Addresses

Primary practice location

928 Farmington Ave
West Hartford, CT 06107-2227

Mailing address

928 Farmington Ave
West Hartford, CT 06107-2227
Phone (860) 233-6293

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shayna.burke.1@27673.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120801000271 CT Practitioner - Allergy/Immunology 7113183716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
George Washington University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collins Medical Associates 2 PCGroup PAC ID 3779486345, 43 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

95 Woodland St
FL 1
Hartford, CT 06105-1230
Phone (860) 714-7362

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
050699CTMDClinical & Laboratory Immunology (Allergy & Immunology) Physician
LP01038RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Oct 1, 2016 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Oct 1, 2016 Accepting new patients
Collins Medical Associates 2 PC CurrentSince Jan 2, 2025 Accepting new patients
Collins Medical Associates 2 PC Pediatrics CurrentSince Jan 2, 2025 Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

95 Woodland St
Fl 1
Hartford, CT 06105
Phone (860) 714-7362

928 Farmington Ave
Ste 4
West Hartford, CT 06107
Phone (860) 233-6293

928 Farmington Ave
West Hartfrd, CT 06107
Phone (860) 233-2322

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27673/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shayna.burke.1@27673.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1609078708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072227",
            "telephone_number": "860-233-6293",
            "fax_number": "860-236-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072227",
            "telephone_number": "860-233-6293",
            "fax_number": "860-236-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "SHAYNA",
        "middle_name": "BETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "050699",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "LP01038",
            "primary": false
        },
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "CT",
            "license": "050699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shayna.burke.1@27673.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "928 Farmington Ave",
            "city": "West Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061072227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.