Individual provider Active NPI

Anna Kate Burke

  • Behavior Technician
  • Colonial Heights, VA
National Provider Identifier
1760229587
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
23278008 Issued in LA
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

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
23278008LAMDBehavior 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.

Verify at the official NPI Registry.