Active NPI
Burkett Medical LLC.
- Adult Health Nurse Practitioner
- Uniontown, PA
National Provider Identifier
1144096116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- BURKETT MEDICAL LLC.
- Practice address
- 280 McClellandtown Rd Ste D
Uniontown, PA 15401-3111 - Phone
- (724) 550-4263
- Fax
- (724) 550-4266
- NPI assigned
- Nov 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jennifer A Minerd
- Title
- Office Manager
- Phone
- (724) 550-4263
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
280 McClellandtown Rd Ste D
Uniontown, PA 15401-3111
Mailing address
280 McClellandtown Rd Ste D
Uniontown, PA 15401-3111
Phone (724) 550-4263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1042418830001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Uniontown, PA
- NPI 1689654006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751846400000",
"number": "1144096116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 MCCLELLANDTOWN RD STE D",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154013111",
"telephone_number": "724-550-4263",
"fax_number": "724-550-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 MCCLELLANDTOWN RD STE D",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154013111",
"telephone_number": "724-550-4263",
"fax_number": "724-550-4266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURKETT MEDICAL LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-30",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A",
"authorized_official_last_name": "MINERD",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "724-550-4263",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1042418830001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Uniontown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.