Individual provider Active NPI

Anthony Burkett

  • Social Worker
  • Fort Worth, TX
National Provider Identifier
1134586357
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
5601 Locke Ave Ste 101
Fort Worth, TX 76107-5129
Phone
(817) 886-3200
NPI assigned
Jan 19, 2016
Reactivated
Jan 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

5601 Locke Ave Ste 101
Fort Worth, TX 76107-5129

Mailing address

5601 Locke Ave Ste 101
Fort Worth, TX 76107-5129
Phone (817) 886-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Renal Care - Texas, LLC CurrentSince Apr 14, 2024 Accepting new patients
Dallas Nephrology Associates PastSince Apr 14, 2024 Accepting new patients
Fresenius Medical Care Centennial, LLC PastSince Dec 27, 2020 Accepting new patients

Locations

5601 Locke Ave
Ste 101
Fort Worth, TX 76107
Phone (817) 886-3200

Interoperability endpoints

  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1134586357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 LOCKE AVE STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075129",
            "telephone_number": "817-886-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCKE AVE STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075129",
            "telephone_number": "817-886-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-19",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "deactivation_date": "2020-08-18",
        "reactivation_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.