Active NPI
Donna Burke, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 038083
- Practice address
- 200 Hawthorne LN
Charlotte, NC 28204-2515 - Phone
- (704) 384-4239
- Fax
- (704) 384-5636
- NPI assigned
- May 25, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 038083 | NC | Primary |
Addresses
Primary practice location
200 Hawthorne LN
Charlotte, NC 28204-2515
Mailing address
PO Box 601549
Charlotte, NC 28260-1549
Phone (704) 384-4239
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NAN606 | Medicaid | SC | |
| 8050457 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060310000146 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3173530532 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 Commerce Ctr Loop
Suite B
Mooresville, NC 28117-8385
Phone (704) 662-0877
Hospital & facility affiliations
- Duke Health Lake Norman Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038083 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Health - Chowan Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Outer Banks Hospital Inc | Current | Accepting new patients | |
| East Carolina Health - Heritage Inc | Current | Accepting new patients | |
| East Carolina Health - Chowan Inc | Current | Accepting new patients | |
| Lake Norman Anesthesia Associates | Current | Accepting new patients | |
| The Outer Banks Hospital Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Carolina Health - Heritage Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Presbyterian Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590
114 Commerce Center Loop
Ste B
Mooresville, NC 28117
Phone (704) 662-0877
146 Medical Park Rd
Ste 108
Mooresville, NC 28117
Phone (704) 662-0876
4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500
111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Edenton, NC
- NPI 1700864980
NC, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tarboro, NC
- NPI 1194703884
NC, Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Nags Head, NC
- NPI 1801874102
NC, Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Edenton, NC
- NPI 1467430710
-
- Rural Health Clinic/Center
- Pinetops, NC
- NPI 1821076589
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Manteo, NC
- NPI 1245291046
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1487626933
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221782400000",
"number": "1760438501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601549",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601549",
"telephone_number": "704-384-4239",
"fax_number": "704-384-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWTHORNE LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042515",
"telephone_number": "704-384-4239",
"fax_number": "704-384-5636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "DONNA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2008-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "038083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN606",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8050457",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.