Active NPI
Kristen Lynn Burkey, RD
- Registered Dietitian
- Summerhill, PA
National Provider Identifier
1417575358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 897902
- Practice address
- 120 S Deer LN
Summerhill, PA 15958-5314 - Phone
- (814) 619-8461
- NPI assigned
- Jul 7, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 897902 | PA | Primary |
Addresses
Primary practice location
120 S Deer LN
Summerhill, PA 15958-5314
Mailing address
120 S Deer LN
Summerhill, PA 15958-5314
Phone (814) 619-8461
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | klburkey76@comcast.net | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 897902 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition in Motion | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1417575358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S DEER LN",
"city": "SUMMERHILL",
"state": "PA",
"postal_code": "159585314",
"telephone_number": "814-619-8461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 S DEER LN",
"city": "SUMMERHILL",
"state": "PA",
"postal_code": "159585314",
"telephone_number": "814-619-8461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKEY",
"first_name": "KRISTEN",
"middle_name": "LYNN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-07",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "897902",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "klburkey76@comcast.net",
"affiliation": "N",
"endpointDescription": "email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "120 S Deer Ln",
"city": "Summerhill",
"state": "PA",
"country_code": "US",
"postal_code": "159585314",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Summerhill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.