Jackilyn Burkeen

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501004823 Issued in MI

Practice address

905 W 11 Mile Rd
Madison Heights, MI 48071-3103

Phone

(173) 422-4547

NPI assigned

Sep 4, 2024

Last updated

Sep 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1790510253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W 11 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713103",
            "telephone_number": "173-422-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W 11 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713103",
            "telephone_number": "173-422-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKEEN",
        "first_name": "JACKILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501004823",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Grace Bryer, FNP-C
• Linda Bubenko
• Helena Bulka, D.O.
• Rana Raad Burek, D.O.
• Bradford Wayne Burgess, D.O.
• Caitlyn Lee Buskirk, BEHAVIOR TECHNICIAN
• Denise Kimberly Butler, LPN
• Roxann Ruth Byars, OTL
• Annie Cacy, D.O.
• Sandra Jean Cagle, NP

• Massage Therapist in Madison Heights, MI
• Providers in Madison Heights, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.