Individual provider Active NPI

Tiana Pinkson-Burke

  • Social Worker
  • Philadelphia, PA
National Provider Identifier
1992106777
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
645 Kenmore Rd
Philadelphia, PA 19151-3743
Phone
(410) 271-9152
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

645 Kenmore Rd
Philadelphia, PA 19151-3743

Mailing address

645 Kenmore Rd
Philadelphia, PA 19151-3743

Other practice location 1

645 Kenmore Rd
Philadelphia, PA 19151-3743
Phone (410) 271-9152

Other practice location 2

3901 Market St
Philadelphia, PA 19104-3133
Phone (215) 243-2800

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

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1992106777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 KENMORE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 KENMORE RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191513743",
            "telephone_number": "410-271-9152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 Kenmore Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191513743",
            "country_code": "US",
            "telephone_number": "410-271-9152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Market St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191043133",
            "country_code": "US",
            "telephone_number": "215-243-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINKSON-BURKE",
        "first_name": "TIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.