Active NPI
Anna Kate Burke
- Behavior Technician
- Colonial Heights, VA
National Provider Identifier
1760229587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 23278008
- Practice address
- 130 Temple Lake Dr Ste 5
Colonial Heights, VA 23834-4902 - Phone
- (318) 455-0132
- NPI assigned
- Jul 9, 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 23278008 | LA | Primary |
Addresses
Primary practice location
130 Temple Lake Dr Ste 5
Colonial Heights, VA 23834-4902
Mailing address
9400 Park Bluff Ter
Chesterfield, VA 23838-8957
Phone (318) 455-0132
Other practice location 1
9400 Park Bluff Ter
Chesterfield, VA 23838-8957
Phone (318) 455-0132
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 |
|---|---|---|---|
| 23278008 | LA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1760229587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9400 PARK BLUFF TER",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238388957",
"telephone_number": "318-455-0132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 TEMPLE LAKE DR STE 5",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238344902",
"telephone_number": "318-455-0132"
}
],
"practiceLocations": [
{
"address_1": "9400 Park Bluff Ter",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "VA",
"postal_code": "238388957",
"country_code": "US",
"telephone_number": "318-455-0132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKE",
"first_name": "ANNA",
"middle_name": "KATE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-09",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "LA",
"license": "23278008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colonial Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.