Individual provider Active NPI

Warren Dwight Burke, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1912418278
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN0000023081 Issued in TN
Practice address
3810 Brainerd Rd
Chattanooga, TN 37411-3729
Phone
(423) 486-9534
NPI assigned
Oct 13, 2017
Last updated
Oct 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN0000023081 TN Primary

Addresses

Primary practice location

3810 Brainerd Rd
Chattanooga, TN 37411-3729

Mailing address

351 Macmillan Rd NE
Cleveland, TN 37323-5088
Phone (423) 650-8960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20180525001853 TN Practitioner - Nurse Practitioner 3375808157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yium, Shenouda and Miller PtrshpGroup PAC ID 3274510037, 49 clinicians

Practice addresses (Care Compare)

2333 McCallie Ave
Chattanooga, TN 37404-3258
Phone (423) 698-6061

251 N Lyerly St
Chattanooga, TN 37404-2743
Phone (423) 826-8000

2525 Desales Ave
Chattanooga, TN 37404-1161
Phone (423) 495-2525

941 Spring Creek Rd
Chattanooga, TN 37412-3909
Phone (423) 894-7870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.73 of 100Reported as group
Quality
81.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000023081TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yium, Shenouda & Miller Ptrshp CurrentSince Oct 31, 2017 Accepting new patients

Locations

251 N Lyerly St
Ste 100
Chattanooga, TN 37404
Phone (423) 826-8000

3810 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 486-9510

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1912418278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 MACMILLAN RD NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373235088",
            "telephone_number": "423-650-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374113729",
            "telephone_number": "423-486-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "WARREN",
        "middle_name": "DWIGHT",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN0000023081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.