Keri Athena Burke, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

396 Herrick Rd
Riverside, IL 60546-2049

Phone

(630) 248-9512

NPI assigned

May 17, 2021

Last updated

May 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Riverview Hospital

  • Family Medicine Physician
  • Noblesville, IN
  • NPI 1609074921
  Medicare reassignment NPD
• Clarksville Emergency Group, PC

  • Emergency Medicine Physician
  • Corydon, IN
  • NPI 1023487154
  Medicare reassignment
• Riverview Hospital

  dba University Heights Health & Living Community

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1831164995
  NPD

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1861066698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 HERRICK RD",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462049",
            "telephone_number": "630-248-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 HERRICK RD",
            "city": "RIVERSIDE",
            "state": "IL",
            "postal_code": "605462049",
            "telephone_number": "630-248-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "KERI",
        "middle_name": "ATHENA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian P Igoe MD SC
• Leslie Ann Briars, PHARMD
• Elizabeth Brouwer, PHARMD
• Ann Bunyan, M.D
• Carl Burdinie, P.T.
• Jennifer Bussell, MD
• C Couropmitree MD SC
• Melissa Caby, ED.S.
• Jennifer Lynn Cameron, OTR
• Yulissa Vanessa Cardenas

• Physician Assistant in Riverside, IL
• Providers in Riverside, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.