Elizabeth R. Burckardt, ARNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

3005218 Issued in KY

Practice address

401 E Chestnut St Unit 690
Louisville, KY 40202-5706

Phone

(502) 852-5841

Fax

(502) 852-1359

NPI assigned

Jul 12, 2007

Last updated

Jun 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1306983762

  Nurse Practitioner

  Medicare reassignment NPD
• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316

  Nurse Practitioner

  Medicare reassignment NPD
• Community Medical Associates, Inc.

  dba Norton Community Medical Associates

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1881192409

  Nurse Practitioner

  NPD
• Community Medical Associates, Inc.

  • Neurological Surgery Physician
  • Louisville, KY
  • NPI 1922288760

  Nurse Practitioner

  NPD
• University of Louisville Physicians, Inc.

  dba ULP Radiological Associates

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1316294127
  NPD
• University of Louisville Physicians, Inc.

  dba ULP Orthopaedics

  • Orthopaedic Surgery Physician
  • Louisville, KY
  • NPI 1700151842
  NPD
• Md2U Kentucky LLC

  • Primary Care Clinic/Center
  • Louisville, KY
  • NPI 1992011050

  Nurse Practitioner

  NPD (past)
• Md2U Indiana LLC

  dba MD2U The Leader In Medical House Calls

  • Primary Care Clinic/Center
  • Indianapolis, IN
  • NPI 1598070740
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1386843233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-852-5841",
            "fax_number": "502-852-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST UNIT 690",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025706",
            "telephone_number": "502-852-5841",
            "fax_number": "502-852-1359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Audubon Plaza Dr",
            "address_2": "Suite 560",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171300",
            "country_code": "US",
            "telephone_number": "502-636-8004",
            "fax_number": "502-636-8334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCKARDT",
        "first_name": "ELIZABETH",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3005216",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3005218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT - CTS",
            "identifier": "50048427",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100013980",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA - NNIKY",
            "identifier": "000028412N",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50025465",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - NNIKY",
            "identifier": "000000642019",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "106198",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000626497",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE KY",
            "identifier": "P00824827",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Jade Burchell, MS, OTR
• Allison D Burchett
• Gregory Scott Burchett, APRN
• Ciarrah Burchnell
• Connie Sue Burcin, COTA/L
• Elizabeth Self Burckardt, MD
• Megan Elizabeth Burd, PHARMD
• Allison Nicole Burdenmeyer
• Bryan Hall Burdette, DMD, MS
• Emily Austin Burdette

• Acute Care Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Acute Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.