Active NPI
Sean M Burket, CRNP
- Acute Care Nurse Practitioner
- Paoli, PA
National Provider Identifier
1154510568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP009817
- Practice address
- 255 West Lancaster Avenue
BLDG 2 - Suite 328
Paoli, PA 19301-1766 - Phone
- (610) 647-2400
- Fax
- (610) 647-3902
- NPI assigned
- Oct 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP009817 | PA | Primary |
Addresses
Primary practice location
255 West Lancaster Avenue
BLDG 2 - Suite 328
Paoli, PA 19301-1766
Mailing address
207 N Broad St
3Rd Floor
Philadelphia, PA 19107-1500
Phone (267) 479-4142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031628290001 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Cardiology, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1790743854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1154510568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 N BROAD ST",
"address_2": "3RD FLOOR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191071500",
"telephone_number": "267-479-4142",
"fax_number": "215-463-3820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 WEST LANCASTER AVENUE",
"address_2": "BLDG 2 - SUITE 328",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011766",
"telephone_number": "610-647-2400",
"fax_number": "610-647-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKET",
"first_name": "SEAN",
"middle_name": "M",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP009817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1031628290001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.