Active NPI
Jodi Ann Burke, FNP
- Nurse Practitioner
- Winter Garden, FL
National Provider Identifier
1699504944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11034162
- Practice address
- 15516 W Colonial Dr Ste 111
Winter Garden, FL 34787-9558 - Phone
- (407) 530-3500
- NPI assigned
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11034162 | FL | Primary |
Addresses
Primary practice location
15516 W Colonial Dr Ste 111
Winter Garden, FL 34787-9558
Mailing address
6425 Agastia CT Unit 101
Orlando, FL 32835-3077
Phone (786) 925-2501
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11034162 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1699504944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6425 AGASTIA CT UNIT 101",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328353077",
"telephone_number": "786-925-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15516 W COLONIAL DR STE 111",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347879558",
"telephone_number": "407-530-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "JODI ANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-26",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11034162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.