Individual provider Active NPI

Shakeya M Burkhalter, LPN

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1992052765
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
309768-1 Issued in NY
Practice address
2116 Dorchester Rd
Apt 4I
Brooklyn, NY 11226-6080
Phone
(917) 974-9773
NPI assigned
Aug 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 309768-1 NY Primary

Addresses

Primary practice location

2116 Dorchester Rd
Apt 4I
Brooklyn, NY 11226-6080

Mailing address

2116 Dorchester Road
Apt 4I
Brooklyn, NY 11226-6081
Phone (917) 974-9773

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
309768-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1992052765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 DORCHESTER ROAD",
            "address_2": "APT 4I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266081",
            "telephone_number": "917-974-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 DORCHESTER RD",
            "address_2": "APT 4I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266080",
            "telephone_number": "917-974-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHALTER",
        "first_name": "SHAKEYA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "309768-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.