Individual provider Active NPI

Rachel Owens Burke, FNP

  • Family Nurse Practitioner
  • Dungannon, VA
National Provider Identifier
1720559537
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176903 Issued in VA
Practice address
17285 Veterans Memorial Hwy
Dungannon, VA 24245-3937
Phone
(276) 467-2201
NPI assigned
Dec 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000025130 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024176903 VA
Family Nurse Practitioner 363LF0000X 0024176903 VA Primary

Addresses

Primary practice location

17285 Veterans Memorial Hwy
Dungannon, VA 24245-3937

Mailing address

PO Box 208
Nickelsville, VA 24271-0208
Phone (276) 479-3171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220816002118 VA Practitioner - Nurse Practitioner 6507249083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Clinch River Health Services IncGroup PAC ID 6709835002, 11 clinicians

Practice addresses (Care Compare)

17285 Veterans Memorial Hwy
Dungannon, VA 24245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000025130TNMDFamily Nurse Practitioner
0024176903VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch River Health Services, Inc. CurrentSince Mar 18, 2022 Accepting new patients
Clinch River Health Services Inc CurrentSince Mar 18, 2022 Accepting new patients

Locations

17633 Veterans Memorial Hwy
Dungannon, VA 24245
Phone (276) 467-2201

17285 Veterans Memorial Hwy
Dungannon, VA 24245
Phone (276) 467-2201

Interoperability endpoints

  • Direct secure messaging: rachel.burke@crhs.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAHCAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1720559537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "NICKELSVILLE",
            "state": "VA",
            "postal_code": "242710208",
            "telephone_number": "276-479-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17285 VETERANS MEMORIAL HWY",
            "city": "DUNGANNON",
            "state": "VA",
            "postal_code": "242453937",
            "telephone_number": "276-467-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "RACHEL",
        "middle_name": "OWENS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000025130",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024176903",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dungannon, VA

Sources for this page

Verify at the official NPI Registry.