Jeanie L Burke, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

164001719 Issued in IL

Practice address

7177 Crimson Ridge Dr
Rockford, IL 61107-6235

Phone

(815) 227-9900

Fax

(815) 397-8070

NPI assigned

Dec 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1619122835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2846 HEDGE CLIFF DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611147403",
            "telephone_number": "815-877-8696",
            "fax_number": "815-877-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 CRIMSON RIDGE DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076235",
            "telephone_number": "815-227-9900",
            "fax_number": "815-397-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JEANIE",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164001719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Anne Bunton, LCPC
• Jeffrey V Burch, D.M.D.
• Todd D Burd, LCPC
• Mary Ann Buresh
• Colleen Burkart, APN
• Kelsy Burke
• John A Burnett, M.D.
• Korynn Burnett, BCBA
• Megan Burnett, MA LPC CADC
• Paige Gail Burnia, MD

• Registered Dietitian in Rockford, IL
• Providers in Rockford, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.