Individual provider Active NPI

Valerie M Watters-Burke, FNP

  • Family Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1922055631
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6576 Issued in TN
Practice address
4020 Concord Pike
Wilmington, DE 19803-1718
Phone
(302) 478-1510
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 127041 WV
Family Nurse Practitioner 363LF0000X 121178 MO
Family Nurse Practitioner 363LF0000X 225173 AR
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X LG-0013577 DE
Family Nurse Practitioner 363LF0000X 101.0138522 VT
Family Nurse Practitioner 363LF0000X 0024192640 VA
Family Nurse Practitioner 363LF0000X 4035857 KY
Family Nurse Practitioner 363LF0000X C-APN.0105495 CO
Family Nurse Practitioner 363LF0000X 0042838 OH
Registered Nurse 163W00000X 88962 TN
Family Nurse Practitioner 363LF0000X 6576 TN Primary
Family Nurse Practitioner 363LF0000X A192813 IA
Family Nurse Practitioner 363LF0000X APRN11024827 FL
Family Nurse Practitioner 363LF0000X 17310-33 WI

Addresses

Primary practice location

4020 Concord Pike
Wilmington, DE 19803-1718

Mailing address

2939 Country Place Dr E
Collierville, TN 38017-8902

Other practice location 1

2939 Country Place Dr E
Collierville, TN 38017-8902
Phone (901) 486-7288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040831001220 TN Practitioner - Nurse Practitioner 1456326651 Reassigns benefits to 1 organization
I20260625002345 VA Practitioner - Nurse Practitioner 1456326651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Cincinnati, OH 45263

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6576TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Consolidated Medical Practices of Memphis,PLLC CurrentSince Aug 24, 2020 Accepting new patients
Cardiovascular Specialist , P.C. Past Accepting new patients
Poplar Bluff Regional Medical Center LLC Past Accepting new patients
Specialty Physician Group LLC Family Past Accepting new patients
Southeastern Emergency Services P C Past Accepting new patients
Tennessee Em-I Medical Services, PC Past Accepting new patients

Locations

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

Interoperability endpoints

  • Direct secure messaging: valerie.watters-burke.1@30520.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1922055631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 COUNTRY PLACE DR E",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380178902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 CONCORD PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198031718",
            "telephone_number": "302-478-1510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2939 Country Place Dr E",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380178902",
            "country_code": "US",
            "telephone_number": "901-486-7288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTERS-BURKE",
        "first_name": "VALERIE",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "127041",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "121178",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "225173",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0013577",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0138522",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024192640",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4035857",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0105495",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0042838",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "88962",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6576",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A192813",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11024827",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "17310-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.