Latisha Shanae Burke, CERTIFIED NURSING

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

107 Johny R Cassidy Rd
Bainbridge, GA 39817-1716

Phone

(229) 205-1992

NPI assigned

Jun 25, 2021

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

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": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1902476609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 JOHNY R CASSIDY RD",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398171716",
            "telephone_number": "229-205-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 JOHNY R CASSIDY RD",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398171716",
            "telephone_number": "229-205-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "LATISHA",
        "middle_name": "SHANAE",
        "name_prefix": "Ms.",
        "credential": "CERTIFIED NURSING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Browne, M.D.
• Lawante Laniece Bryant-Scott
• Matthew Buck, MD
• Burke & Robinson MD PC
• Kenneth Dean Burke, MD
• Christina Bush
• Cierra Bush
• Clarence Edward Bush, D.M.D.
• Jessica Register Butler, LPN
• Camille S Calhoun, SLP

• Nurse's Aide in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.