KATHLEEN BURKE (NPI# 1811008634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811008634 |
| Entity Type | Individual |
| Full Name | KATHLEEN BURKE |
| Credential | R.N.C.,M.S., N.P. |
| Practice Address |
340 Maple St 201 Marlborough MA 01752-3200 |
| Mailing Address |
526 Main St 302 Acton MA 01720-3301 |
| Practice Telephone | 5084609613 |
| Mailing Telephone | 9783717010 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
165067 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | FALLEN COMMUNITY HEALTH C | 53313 | 01 |
| MA | STATE CONTROLLED SUBSTANC | MB03805471 | 01 |
| MA | BC/BS | NP1970 | 01 |
| MA | FEDERAL DEA | MB0225018 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538455472 | Kathleen Anne Burke | Social Worker | 84 State St Ste 660, Boston, MA 02109-2200 | 2011-06-20 |
| 1770880700 | Kathleen Helen Burke | Physical Therapist | 11320 Burlington St, Apt 359, Southgate, MI 48195-2896 | 2011-02-28 |
| 1902032485 | Kathleen Mary Burke | Speech-Language Pathologist | 93 Nassau Ave, Kenmore, NY 14217-2141 | 2009-06-10 |
| 1316198260 | Kathleen Sue Burke | Community Based Residential Treatment Facility, Mental Illness | 138 Washington, Montrose, MI 48457-7719 | 2008-10-08 |
| 1932355922 | Kathleen Burke | Counselor | 121 Shelley Dr Ste 2e, Hackettstown, NJ 07840-2530 | 2008-08-11 |
| 1548444557 | Kathleen Burke | Speech-Language Pathologist | 3040 N Harbor City Blvd, Suite 7, Melbourne, FL 32935 | 2007-12-27 |
| 1710038641 | Kathleen Marie Burke | Acupuncturist | 5404 Meridian Ave N, Seattle, WA 98103-6139 | 2007-01-16 |
| 1134208960 | Kathleen Burke Burke | Speech-Language Pathologist | 37 Magazine St, Bedford, NH 03110-4810 | 2006-11-03 |
| 1932113339 | Kathleen Burke | Family Medicine | 1863 Burke Rd, Las Cruces, NM 88007 | 2006-07-28 |
| 1477542363 | Kathleen Ann Burke | Nurse Practitioner | 654 S 900 E, Salt Lake City, UT 84102-3478 | 2005-10-14 |
| Street Address |
340 MAPLE ST 201 |
| City | MARLBOROUGH |
| State | MA |
| Zip Code | 01752-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1235754664 | Jessica Michelle Rudolph | Behavior Technician | 22 Cedar Hill Street, Suite 200, Marlborough, MA 01752 | 2020-06-11 |
| 1619501012 | Kady Potter | Behavioral Analyst | 225 Cedar Hill Street, Marlborough, MA 01752 | 2020-02-25 |
| 1639701113 | Cheyenne-lynn Charnik | Behavior Technician | 255 Cedar Hill St, Suite 200, Marlborough, MA 01752 | 2020-02-12 |
| 1063042711 | Nichole Lowder | Behavioral Analyst | 22 5 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-01-22 |
| 1164068649 | Ludiana Andrade | Behavioral Analyst | 225 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2019-11-20 |
| 1215583646 | Olivia Setzer | Behavior Technician | 225 Cedar Street, Suite 200, Marlborough, MA 01752 | 2019-08-12 |
| 1306490867 | Rachael Lee Pennachi | Behavior Technician | 225 Cedar Hill Street Ste 200, Marlborough, MA 01752 | 2019-08-01 |
| 1962964130 | Hero Therapy LLC | Behavioral Analyst | 11 Apex Dr Ste 300a, Marlborough, MA 01752 | 2019-04-04 |
| 1780190728 | Rachel Castleberry | Counselor | Advocates, 340 Maple Street 4th Floor, Marlborough, MA 01752 | 2017-12-28 |
| Find all providers in zip 01752 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447796149 | Jacquelynne Anne Leighton | Nurse Practitioner | 320 Bolton St, Marlborough, MA 01752-3988 | 2017-01-18 |
| 1437559614 | Jennifer Vitti Haddad | Nurse Practitioner | 320 Bolton St, Marlborough, MA 01752-3988 | 2014-08-25 |
| 1699011411 | Christine Blake Grabenstatter | Nurse Practitioner | 320 Bolton St, Marlborough, MA 01752-3988 | 2012-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666203 | Eileen Whyte O'holleran | Nurse Practitioner | 12 Autumn Ln, South Hamilton, MA 01982-1400 | 2020-10-14 |
| 1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
| 1063026946 | Alexandra Louise Lester | Nurse Practitioner | 7 Doris Cir, Newton, MA 02458-1929 | 2020-09-08 |
| 1023627833 | Jennifer Suxin Yu | Nurse Practitioner | 63 Cedar St, Malden, MA 02148-3647 | 2020-07-28 |
| 1417566563 | Julianna Marie Roberts | Nurse Practitioner | 5 Helen Dr, Peabody, MA 01960-1235 | 2020-07-24 |
| 1144838384 | Amanda Rose Bakos | Nurse Practitioner | 218 Marion St, Boston, MA 02128-1758 | 2020-07-14 |
| 1710504949 | Angela Vu | Nurse Practitioner | 83 Nightingale Ave # 1l, Quincy, MA 02169-6413 | 2020-07-03 |
| 1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
| 1841823911 | Rachel N Mick | Nurse Practitioner | 77 Winsor St Ste 103, Ludlow, MA 01056-3470 | 2020-02-18 |
| 1326670803 | Ashley Laverdiere | Nurse Practitioner | 1 Ferncroft Rd, Danvers, MA 01923-4017 | 2020-02-12 |
| Find all providers with the same taxonomy | ||||
| City | MARLBOROUGH |
| Zip Code | 01752 |
Please comment or provide details below to improve the information on KATHLEEN BURKE.
| 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.