SHANNON BURKE (NPI# 1235513334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235513334 |
| Entity Type | Individual |
| Full Name | SHANNON BURKE |
| Practice Address |
1515 W Jackson St Apt 3 Macomb IL 61455-3634 |
| Practice Telephone | 8479248887 |
| Mailing Telephone | 8479248887 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096.003839 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720335292 | Shannon Irene Burke | Pharmacist | 305 Harrison St Se, Suite 102, Leesburg, VA 20175-3729 | 2012-08-14 |
| 1922319938 | Shannon Marie Burke | Counselor | 1209 W Us Route 66 Ste A, Moriarty, NM 87035-1039 | 2010-06-24 |
| 1841315835 | Shannon Michele Burke | Marriage & Family Therapist | 1911 Williams Dr Ste 150, Oxnard, CA 93036-2612 | 2007-03-20 |
| 1528077823 | Shannon Doak Burke | Chiropractor | 360 S Main St, Vidor, TX 77662-5752 | 2006-08-05 |
| 1730795220 | Shannon Marie Burke | Social Worker | 1713 6th Ave South, Birmingham, AL 35294-0001 | 2020-09-20 |
| 1417502279 | Shannon J Burke | Physician Assistant | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-08-07 |
| 1639647928 | Shannon Leigh Burke | Dietitian, Registered | 1975 4th St, San Francisco, CA 94143-2351 | 2018-11-05 |
| 1811476203 | Shannon Burke | Clinical Pharmacology | 503 N 21st St, Camp Hill, PA 17011-2204 | 2018-08-07 |
| 1437646387 | Shannon Burke | Student in an Organized Health Care Education/Training Program | Uw Hospitals and Clinics, Madison, WI 53792-0001 | 2018-04-17 |
| 1225578917 | Shannon Burke | Social Worker | 6881 Beechmont Ave, Cincinnati, OH 45230-2907 | 2017-03-01 |
| Street Address |
1515 W JACKSON ST APT 3 |
| City | MACOMB |
| State | IL |
| Zip Code | 61455-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| Find all providers in zip 61455 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891263653 | Skylar Marie Beard | Specialist/Technologist | 330 Wigwam Hollow Rd Apt 5, Macomb, IL 61455-1290 | 2018-11-08 |
| 1457842056 | Laurie Moro | Specialist/Technologist | 48758 Chestnut Dr, Macomb, MI 48044-2091 | 2018-05-20 |
| 1215486527 | Kodjo Amegan | Specialist/Technologist | 305 E Carroll St, Macomb, IL 61455-2351 | 2016-09-27 |
| 1831541499 | Marc Kessler | Specialist/Technologist | 1214 N Lafayette St, Macomb, IL 61455-1151 | 2016-07-07 |
| 1497116966 | Taylor Wolf | Specialist/Technologist | 14440 E 2000th St, Macomb, IL 61455-8621 | 2016-03-11 |
| 1902267404 | Jamal Robinson | Specialist/Technologist | 519 N Randolph St, Macomb, IL 61455-1560 | 2016-03-10 |
| 1952495673 | Melissa Vincke | Specialist/Technologist | 21051 21 Mile Rd, Macomb, MI 48044-2909 | 2006-10-03 |
| 1730116591 | Amy Beckman | Specialist/Technologist | 1 University Circle, Western Illinois University Athletics, Macomb, IL 61455 | 2006-06-27 |
| 1275598161 | Michael Patrick Pendergast Sr. | Specialist/Technologist | Western Illinos University Athletic Dept., One Univ. Circle, Macomb, IL 61455 | 2006-04-20 |
| 1467412452 | Kelly Jay Mcbride | Specialist/Technologist | 709 W. Adams St. #4, Macomb, IL 61455-1367 | 2006-03-24 |
| Find all providers in MACOMB | ||||
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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.