DR. MICHELLE BOUTTE BURKE (NPI# 1770536674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770536674 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE BOUTTE BURKE |
| Credential | PHD |
| Practice Address |
1644 Us Highway 395 N Minden NV 89423-4320 |
| Practice Telephone | 7757839336 |
| Mailing Telephone | 7757839336 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0481 | NV | Behavioral Health & Social Service Providers |
| Street Address |
1644 US HIGHWAY 395 N |
| City | MINDEN |
| State | NV |
| Zip Code | 89423-4320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306044110 | Somer J. Lyons O.d., Ltd. | Optometrist | 1644 Us Highway 395 N, Unit B-1, Minden, NV 89423-4320 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124404728 | Jenna Ortiz | Counselor | 1650 Hwy 395 N, Suite 103a, Minden, NV 89423 | 2015-08-05 |
| 1508270042 | Courtney Michele Carmichael Hight | Physical Therapist | 1642 Mackland Ave, Minden, NV 89423 | 2014-06-12 |
| 1205274834 | Robert William Stone | Rehabilitation Practitioner | 1512 Hwy 395 N, Suite 3, Gardnerville, NV 89423 | 2013-06-05 |
| 1992068316 | David S Hoskins Md, Ltd | Family Medicine | 1664 Hwy 395 North, Suite 201, Minden, NV 89423 | 2012-06-20 |
| 1831450915 | Rachel Arvella Pryde | Social Worker | 1644 Highway 395 N, Suite D, Minden, NV 89423 | 2012-06-05 |
| 1316229610 | Jay D Marriage | Dentist | 1700 County Road, Suite E, Minden, NV 89423 | 2011-09-13 |
| 1053590760 | Gail Jean Jacobs | Social Worker | 1650 Hwy 395 Suite 202c, Minden, NV 89423 | 2007-10-30 |
| 1972797835 | Steven Brown Md PC | Internal Medicine | 1667 Lucerne Dr, Ste A, Minden, NV 89423 | 2007-09-04 |
| 1760681365 | Optimalaire Inc | Durable Medical Equipment & Medical Supplies | 2559-1 Precision Drive, Suite 1, Minden, NV 89423 | 2007-07-13 |
| 1316167406 | Jay D Marriage Dds | Dentist | 1700 County Rd, Suite B, Minden, NV 89423 | 2007-04-30 |
| Find all providers in zip 89423 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691074 | Rita A. Carlson, Psy.d., Pllc | Psychologist | 191 Shady Grove Ln, Dayton, NV 89403-6364 | 2020-08-26 |
| 1215546221 | Christeen Sonaly Silva | Psychologist | 981 Whitney Ranch Dr Apt 826, Henderson, NV 89014-2570 | 2020-07-26 |
| 1083240246 | Lindsay Fletcher Hardie | Psychologist | 923 Tahoe Blvd Ste 210, Incline Village, NV 89451-9443 | 2020-03-19 |
| 1932739646 | Leah M. Leonard-steckline | Psychologist | 1423 S Arlington Ave, Reno, NV 89509-2649 | 2020-01-22 |
| 1396381612 | Britney Lillian Alford | Psychologist | University of Nevada Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV 89154 | 2019-11-21 |
| 1760027213 | Legacy Counseling and Workforce Connections | Psychologist | 4170 S Decatur Blvd Ste 9, Las Vegas, NV 89103-5861 | 2019-11-07 |
| 1376192872 | Cheryl L Garn | Psychologist | 1875 Plumas St Ste 6, Reno, NV 89509-3387 | 2019-09-06 |
| 1467019125 | Southern Nevada Psychological Services | Psychologist | 2770 S. Maryland Pkwy Ste. 105, Las Vegas, NV 89109-1568 | 2019-05-28 |
| 1831659077 | James A Wakefield Jr. | Psychologist | 696 Village Blvd Unit 27, Incline Village, NV 89451-9098 | 2019-03-22 |
| 1831662725 | Anna Darbonne-bjorndal | Psychologist | 8430 W Lake Mead Blvd Ste 111, Las Vegas, NV 89128-7672 | 2019-01-03 |
| Find all providers with the same taxonomy | ||||
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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.