Active NPI
Janell Kaydee Burkart, MATRG, ATC, NREMT
- Athletic Trainer
- Xenia, OH
National Provider Identifier
1306313317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 856-19
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 145677 | ND | MD | Basic Emergency Medical Technician |
| 856-19 | ND | MD | Athletic Trainer |
| 0990709 | ND | MD | Student 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.