Individual provider Active NPI

Janell Kaydee Burkart, MATRG, ATC, NREMT

  • Athletic Trainer
  • Xenia, OH
National Provider Identifier
1306313317
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
856-19 Issued in ND
Practice address
651 Taylor Dr
Xenia, OH 45385-7246
Phone
(937) 352-1000
NPI assigned
Oct 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 145677 ND
Student in an Organized Health Care Education/Training Program 390200000X 0990709 ND
Athletic Trainer 2255A2300X 856-19 ND Primary

Addresses

Primary practice location

651 Taylor Dr
Xenia, OH 45385-7246

Mailing address

651 Taylor Dr
Xenia, OH 45385-7246

Other practice location 1

1301 Administration Ave N
Fargo, ND 58105-5709
Phone (701) 231-7474

Other practice location 2

101 College St SW
Valley City, ND 58072-4024
Phone (800) 532-8641

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

State licenses

LicenseStateTypeSpecialty
145677NDMDBasic Emergency Medical Technician
856-19NDMDAthletic Trainer
0990709NDMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1540684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1306313317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 TAYLOR DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453857246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 TAYLOR DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453857246",
            "telephone_number": "937-352-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Administration Ave N",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581055709",
            "country_code": "US",
            "telephone_number": "701-231-7474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 College St SW",
            "address_purpose": "LOCATION",
            "city": "Valley City",
            "state": "ND",
            "postal_code": "580724024",
            "country_code": "US",
            "telephone_number": "800-532-8641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKART",
        "first_name": "JANELL",
        "middle_name": "KAYDEE",
        "name_prefix": "Mrs.",
        "credential": "MATRG, ATC, NREMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-28",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "ND",
            "license": "145677",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "ND",
            "license": "0990709",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "856-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.