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DESTINY BURKE
NPI 1417640848
Licensed Practical Nurse in Las Vegas, NV

Active since May 31, 2023
4245 S GRAND CANYON DR STE 226, LAS VEGAS, NV 89147(702) 751-0356 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2024, May 31, 2023 (2 updates tracked since 2023).

About Destiny Burke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESTINY BURKE (NPI 1417640848) is an individual licensed practical nurse in Las Vegas, Nevada, licensed in Michigan (4703128762) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1417640848
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDESTINY BURKE
Location Address4245 S GRAND CANYON DR STE 226Las Vegas, NV 89147-7162
Mailing Address4245 S Grand Canyon Dr Ste 226Las Vegas, NV 89147-7162 · (702) 751-0356
Phone(702) 751-0356
Sole ProprietorNo
Enumeration DateMay 31, 2023
Last NPPES UpdateMay 10, 20242 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1417640848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703128762
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
4245 S GRAND CANYON DR STE 226, Las Vegas, NV 89147
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDGAR GABRIEL
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147
Clark County (702) 751-0356
THOMAS KOMENDA
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147
Clark County (702) 751-0356
REGINALD ROGOFF
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147
Clark County (702) 751-0356
ILLIANA CEJA
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147
Clark County (702) 751-0356
BOTANY PARKS
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147
Clark County (702) 751-0356
LATREKA WATSON
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147
Clark County (702) 751-0356
MATIA LAUB
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147
Clark County (702) 751-0356
MRYOSHI HOLDEN
Technician (Personal Care Attendant)
4245 S GRAND CANYON DR STE 226
LAS VEGAS, NV 89147
Clark County (702) 751-0356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Destiny Burke's NPI number?

The NPI number for Destiny Burke is 1417640848. It was assigned to this individual provider in the NPPES registry on May 31, 2023.

Where is Destiny Burke located?

Destiny Burke practices at 4245 S Grand Canyon Dr Ste 226, Las Vegas, NV 89147. The listed phone number is (702) 751-0356.

What is Destiny Burke's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Destiny Burke was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.