MEDICARE: KATIE NETTESHEIM BURKEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	0024196118	VA

General Provider Information

NPI Number	:	1518761303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE NETTESHEIM BURKEY

Provider Business Mailing Address
First Line	:	1901 CAPERS AVE APT 100
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-3117
Country	:	US
Telephone Number	:	262-822-6327
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 SENTARA CIR STE 105
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-5727
Country	:	US
Telephone Number	:	757-253-5653
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2025
Last Update Date	:	04/13/2026

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Directions to “ KATIE NETTESHEIM BURKEY ” Practice Location

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