Active NPI
Kimberly Gann Burkhart, AGPCNP
- Adult Health Nurse Practitioner
- Durham, NC
National Provider Identifier
1194067546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5006120
- Practice address
- 2645 Meridian Pkwy Ste 323
Durham, NC 27713-4232 - Phone
- (657) 237-2450
- NPI assigned
- Mar 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 5006120 | NC | |
| Adult Health Nurse Practitioner | 363LA2200X | 5006120 | NC | Primary |
Addresses
Primary practice location
2645 Meridian Pkwy Ste 323
Durham, NC 27713-4232
Mailing address
2645 Meridian Pkwy Ste 323
Durham, NC 27713-4232
Phone (833) 355-6036
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5006120 | NC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice of Rockingham County, Inc | Current | Accepting new patients |
Locations
2150 NC Highway 65
Reidsville, NC 27320
Phone (336) 427-9022
Interoperability endpoints
- ms_kburkhar@landmarkhealth-direct.org
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.
-
- Community Based Hospice Care Agency
- Reidsville, NC
- NPI 1639172299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1194067546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 MERIDIAN PKWY STE 323",
"city": "DURHAM",
"state": "NC",
"postal_code": "277134232",
"telephone_number": "833-355-6036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2645 MERIDIAN PKWY STE 323",
"city": "DURHAM",
"state": "NC",
"postal_code": "277134232",
"telephone_number": "657-237-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHART",
"first_name": "KIMBERLY",
"middle_name": "GANN",
"name_prefix": "Mrs.",
"credential": "AGPCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-25",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5006120",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5006120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.