Active NPI
Donna J Burke, ANP
- Adult Health Nurse Practitioner
- Stockton, CA
National Provider Identifier
1942589965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 250398
- Practice address
- 415 E Harding Way
Suite D
Stockton, CA 95204-6118 - Phone
- (209) 944-5750
- Fax
- (209) 464-2684
- NPI assigned
- Aug 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 250398 | CA | Primary |
Addresses
Primary practice location
415 E Harding Way
Suite D
Stockton, CA 95204-6118
Mailing address
415 E Harding Way
Suite D
Stockton, CA 95204-6118
Phone (209) 944-5750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250398 | Other | CA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250398 | CA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1942589965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E HARDING WAY",
"address_2": "SUITE D",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046118",
"telephone_number": "209-944-5750",
"fax_number": "209-464-2684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E HARDING WAY",
"address_2": "SUITE D",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046118",
"telephone_number": "209-944-5750",
"fax_number": "209-464-2684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "DONNA",
"middle_name": "J",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "250398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "250398",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.