Precious Randa Burke, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0517 Issued in NH

Practice address

70 Main St
New Hampton, NH 03256-4208

Phone

(603) 677-3510

NPI assigned

Feb 9, 2021

Last updated

Feb 9, 2021By 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 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1871185967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632",
            "city": "NEW HAMPTON",
            "state": "NH",
            "postal_code": "032560632",
            "telephone_number": "603-381-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MAIN ST",
            "city": "NEW HAMPTON",
            "state": "NH",
            "postal_code": "032564208",
            "telephone_number": "603-677-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "PRECIOUS",
        "middle_name": "RANDA",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NH",
            "license": "0517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW HAMPSHIRE STATE LICENSURE",
            "identifier": "0517",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER",
            "identifier": "BOC153621",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ATHLETIC TRAINERS' ASSOCIATION",
            "identifier": "32826",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharayah Nicole Baier, OTR/L
• Kyle T Baron, MD
• Briggs Acquisition-New Hampshire (Live Free Home HealthCare)
• Autumn Carlson, PHARMD.
• Andrew R Connery, ED.D.
• Dawn L Culbertson
• Inertia Physical Therapy LLC
• Jill Lynn Jones, MED

• Athletic Trainer in New Hampton, NH
• Providers in New Hampton, NH by specialty
• Athletic Trainer in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.