Nataki Burke, LMT

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

MT007621 Issued in GA

Practice address

10305 Misty Ridge Dr
Jonesboro, GA 30238-8027

Phone

(617) 240-4623

NPI assigned

Jan 7, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Well Balance Bodies LLC

  • Massage Therapist
  • Jonesboro, GA
  • NPI 1114532199
  NPD Authorized official

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1922338292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 MISTY RIDGE DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302388027",
            "telephone_number": "617-240-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 MISTY RIDGE DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302388027",
            "telephone_number": "617-240-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "NATAKI",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "MT007621",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT007621",
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "GA",
            "license": "MT007621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerelyn Buchanan
• Building a Strong Foundation Consultant Service LLC
• Marquez Burdette Sr.
• Michelle P Burger-Rains, BCBA
• Ashley Burgess, LCSW
• Amber Burks, CCC-SLP
• Thomas C. Burns, PH.D
• Jadawnya Burton, CNA
• Felita Bush, LPC
• Business & Technology Outreach Corporation

• Reflexologist in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Reflexologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.