MISS JORDAN RAE BURKE (NPI# 1356981351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356981351 |
| Entity Type | Individual |
| Full Name | MISS JORDAN RAE BURKE |
| Credential | APRN |
| Practice Address |
11943 El Camino Real Ste 100 San Diego CA 92130-2597 |
| Practice Telephone | 8582493223 |
| Mailing Telephone | 8582593223 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 95014546 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
11005599 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Lake Hollingsworth Dr, Lakeland, FL 338015607 | 8636804111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942842125 | Jordan Burke | Behavior Technician | 500 Barfield Dr, Hastings, MI 49058-9018 | 2019-10-09 |
| 1871081919 | Jordan Scott Burke | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2018-04-24 |
| 1659701696 | Jordan Burke | Physician Assistant | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2013-11-12 |
| Street Address |
11943 EL CAMINO REAL STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-2597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560467 | Helen Regina Stearns | Nurse Practitioner | 8797 Encino Ave, San Diego, CA 92123-3952 | 2020-08-28 |
| 1346852480 | Jenna Juenger | Nurse Practitioner | 10665 Calle Mar De Mariposa Apt 3215, San Diego, CA 92130-8730 | 2020-08-19 |
| 1750908414 | Deborah Lynne Monaghan | Nurse Practitioner | 14471 Via Venezia Apt 601, San Diego, CA 92129-1657 | 2020-06-29 |
| 1780211300 | Amanda Renee Phillips | Nurse Practitioner | 3034 Horton Ave, San Diego, CA 92103-6008 | 2020-03-24 |
| 1538792304 | Allison D White | Nurse Practitioner | 726 W Pennsylvania Ave, San Diego, CA 92103-3804 | 2020-02-19 |
| 1598319436 | Madison Taylor Shreeve | Nurse Practitioner | 3435 Del Mar Heights Rd # D6a, San Diego, CA 92130-2225 | 2019-07-29 |
| 1659930485 | Lovella Medilo | Nurse Practitioner | 4033 3rd Ave Ste 430, San Diego, CA 92103-2117 | 2019-06-05 |
| 1306300272 | Stephanie O'brien Sramek | Nurse Practitioner | 4077 5th Ave # Ems, San Diego, CA 92103-2105 | 2019-01-25 |
| 1467930875 | Reliable Care Md On The Go | Nurse Practitioner | 4565 Ruffner St Ste 201, San Diego, CA 92111-2259 | 2018-07-30 |
| 1649757741 | Kristen Joy Kellogg | Nurse Practitioner | 2445 1/2 Market St, San Diego, CA 92102-2930 | 2018-07-23 |
| Find all providers in SAN DIEGO | ||||
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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.