RYAN BURKE (NPI# 1265844815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265844815 |
| Entity Type | Individual |
| Full Name | RYAN BURKE |
| Practice Address |
610 W Broadway Ave Ste L1 Jackson WY 83001-8213 |
| Mailing Address |
Po Box 11390 Jackson WY 83002-1390 |
| Practice Telephone | 3077333908 |
| Practice Fax Number | 3077340017 |
| Mailing Telephone | 3077333908 |
| Mailing Fax Number | 3077340017 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
PPC 830 | WY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164952552 | Ryan Burke | Physical Therapist | 10740 Palm River Rd Ste 310, Tampa, FL 33619-4577 | 2017-06-18 |
| 1578979019 | Ryan Burke | Behavioral Analyst | 2702 Industrial Dr Apt 814, Bowling Green, KY 42101-4156 | 2014-07-04 |
| 1447503537 | Ryan Matthew Burke | Physical Therapist | 110 Florence Street, Suite 104, Malden, MA 02148 | 2012-10-26 |
| 1730418211 | Ryan P Burke | Dentist | 68 W 40th St, Bayonne, NJ 07002-2001 | 2009-12-13 |
| 1609373398 | Ryan J Burke | Physical Therapist | 1517 S Randall Rd, Algonquin, IL 60102-5933 | 2018-04-09 |
| 1881128585 | Ryan Burke | Behavior Technician | 27268 Via Industria, Temecula, CA 92590-3751 | 2017-04-19 |
| 1548701394 | Ryan Burke | Counselor | 921 14th Ave, Longview, WA 98632-2316 | 2017-03-13 |
| 1053798124 | Ryan Burke | Chiropractor | 2345 S Huron Pkwy, Ann Arbor, MI 48104-5124 | 2015-04-28 |
| 1639566094 | Ryan Scot Burke | Plastic Surgery | 3200 Downwood Cir Nw, Ste 640a, Atlanta, GA 30327 | 2015-04-22 |
| 1194132860 | Ryan Burke | Physician Assistant | 8971 W Overland Rd, Boise, ID 83709-1651 | 2014-07-15 |
| Street Address |
610 W BROADWAY AVE STE L1 |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245353168 | Michael J Wine | Dentist | 610 W Broadway Ave, Jackson, WY 83001-8213 | 2007-04-07 |
| 1255871018 | Danielle Christensen | Social Worker | 610 W Broadway Ave, Ste L1, Jackson, WY 83001-8213 | 2017-02-27 |
| 1841665668 | Anne Ellingson | Counselor | 610 W Broadway Ave, Suite L1, Jackson, WY 83001-8213 | 2015-12-04 |
| 1144603598 | Dustin Rifkin | Counselor | 610 W Broadway Ave, Jackson, WY 83001-8213 | 2015-07-02 |
| 1316346497 | Julie Elledge | Marriage & Family Therapist | 610 W Broadway Ave, 109, Jackson, WY 83001-8213 | 2014-08-14 |
| 1033535216 | Jonathan Figg | Internal Medicine | 610 W Broadway Ave, Suite 108, Jackson, WY 83001-8213 | 2014-03-11 |
| 1952662751 | Jonathon C Baillie | Counselor | 610 W Broadway Ave, Jackson, WY 83001-8213 | 2012-06-07 |
| 1881973345 | Thekla Margaret Vonhagke | Counselor | 610 W Broadway Ave, Suite L 1, Jackson, WY 83001-8213 | 2011-08-15 |
| 1053647990 | Samantha Baillie | Counselor | 610 W Broadway Ave, Suite L 1, Jackson, WY 83001-8213 | 2009-10-28 |
| 1457500860 | Allison Walsh-day | Social Worker | 610 W Broadway Ave, Jackson, WY 83001-8213 | 2008-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952665 | John Cate Owen | Counselor | 2525 Lakeward Dr Ste 400, Jackson, MS 39216-4827 | 2020-11-04 |
| 1760098727 | Anna Marie Jones | Counselor | 32 Portsmouth St, Jackson, OH 45640-1622 | 2020-09-16 |
| 1891313656 | Kayla Lynn Fazzari | Counselor | N168w20964 Main St, Jackson, WI 53037-9634 | 2020-07-08 |
| 1184184202 | Tracy Dawn Schuh | Counselor | 300 Morton St, Jackson, OH 45640-1028 | 2019-03-24 |
| 1013483858 | Bradley A Tompson | Counselor | 794 Mcdonough Rd Ste 100, Jackson, GA 30233-1572 | 2018-10-19 |
| 1295237048 | Impact Behavioral Counseling LLC | Counselor | 37 Sandstone Cir Ste 92b, Jackson, TN 38305-2089 | 2018-03-07 |
| 1942708920 | Candace R Downey | Counselor | 120 Twin Oaks Dr Unit D, Jackson, OH 45640-9506 | 2018-01-25 |
| 1508379462 | Vicki Lee Harper | Counselor | 295 Broadway St Ste 101, Jackson, OH 45640-1701 | 2017-11-14 |
| 1356867295 | Stephanie Michelle Gilbert | Counselor | 345 E Main St Ste A, Jackson, OH 45640-1780 | 2017-08-22 |
| 1477081206 | Trending Upwards | Counselor | 1754 Highway 15 N, Jackson, KY 41339 | 2017-05-24 |
| Find all providers in JACKSON | ||||
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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.