Individual provider Active NPI

Lyle C Burkle, MS APRN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Omaha, NE
National Provider Identifier
1689723785
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
114009 Issued in NE
Practice address
4101 Woolworth Ave BLDG 8
Omaha, NE 68105-1850
Phone
(402) 995-5795
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 33966 NE
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 114009 NE Primary

Addresses

Primary practice location

4101 Woolworth Ave BLDG 8
Omaha, NE 68105-1850

Mailing address

5025 Raven Oaks Dr
Omaha, NE 68152-1744
Phone (402) 995-5795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
33966NEMDAdult Psychiatric/Mental Health Registered Nurse
114009NEMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1689723785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 RAVEN OAKS DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681521744",
            "telephone_number": "402-995-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 WOOLWORTH AVE BLDG 8",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051850",
            "telephone_number": "402-995-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKLE",
        "first_name": "LYLE",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MS APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NE",
            "license": "33966",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NE",
            "license": "114009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.