JACQUELYN BURKE (NPI# 1174093769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174093769 |
| Entity Type | Individual |
| Full Name | JACQUELYN BURKE |
| Credential | MS, RD, LDN |
| Practice Address |
Lahey Outpatient Center, Lexington 16 Hayden Avenue Lexington MA 02426 |
| Mailing Address |
400 Tradecenter Drive Woburn MA 02801 |
| Practice Telephone | 6178719640 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2019-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86092747 | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Lavalle Wellness, 400 Tradecenter Drive, Woburn, MA 01801 | 6178719640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053812453 | Jacquelyn Burke | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2018-02-22 |
| Street Address |
LAHEY OUTPATIENT CENTER, LEXINGTON 16 HAYDEN AVENUE |
| City | LEXINGTON |
| State | MA |
| Zip Code | 02426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780610592 | Kerry Demers | Specialist | Lahey Outpatient Center, Lexington, 16 Hayden Ave, Lexington, MA 02421 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861339 | Lexington Dental Group LLC | Dentist | 35 Bedford St Ste 110, Lexington, MA 02420-4320 | 2020-11-06 |
| 1780285742 | Ivan William Miller Jr. | Technician | 241 Silvercrest Dr, Lexington, OH 44904-9364 | 2020-11-05 |
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1831790013 | Jennifer Waterman | Behavior Technician | 333 W Butler St, Lexington, SC 29072-2605 | 2020-11-04 |
| 1497356521 | Kimberly Meier | Audiologist | 1000 Falcon Wood Way, Lexington, KY 40511-9089 | 2020-11-04 |
| 1164023271 | Elizabeth Roth | Chiropractor | 3650 Boston Rd Ste 188, Lexington, KY 40514-1502 | 2020-11-04 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1063013571 | Andrew William Peters | Pharmacist | 301 Castor Rd Apt 104, Lexington, OH 44904-8745 | 2020-11-03 |
| 1770184368 | Shawn D Myers | Private Vehicle | 256 Otterbein Dr Apt E, Lexington, OH 44904-1053 | 2020-11-02 |
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| Find all providers in LEXINGTON | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332074 | Yolanda Letrice Jackson | Dietitian, Registered | 1024 Greendale Rd Unit 14103, Lexington, KY 40511-8350 | 2020-06-25 |
| 1669093282 | Karen Kay Klefot | Dietitian, Registered | 1401 Harrodsburg Rd Ste A410, Lexington, KY 40504-3801 | 2020-05-05 |
| 1013543172 | Kelly Blackburn | Dietitian, Registered | 711 Hambrick Ave, Lexington, KY 40508-2307 | 2020-03-19 |
| 1477102614 | Candice Belle Tufano | Dietitian, Registered | 2184 Winterberry Dr Apt B, Lexington, KY 40504-3251 | 2019-09-10 |
| 1225694789 | Ida Marie Ibarra Rodriguez | Dietitian, Registered | 2692 Braden Way, Lexington, KY 40509-8571 | 2019-05-10 |
| 1215591185 | Erin Casey | Dietitian, Registered | 220 Strawberry Fields Rd, Lexington, KY 40516-9759 | 2019-04-26 |
| 1497220313 | Todd Meek | Dietitian, Registered | 2681 Red Leaf Dr, Lexington, KY 40509-1742 | 2018-10-06 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1447747282 | Sarah Ann Czarnecki | Dietitian, Registered | 752 Clayvis Ct, Lexington, KY 40515-6328 | 2018-04-17 |
| 1215449178 | University of Kentucky | Dietitian, Registered | 2195 Harrodsburg Road, Suite 125, Uk Healthcare At Turfland-barnstable Brown Diabetes Cen, Lexington, KY 40504-3504 | 2017-11-01 |
| Find all providers in LEXINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.