Individual provider Active NPI

Kimberly Burkhardt, RD

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1447621289
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN10037692 Issued in MA
Practice address
1233 Locust St FL 4
Philadelphia, PA 19107-5459
Phone
(215) 790-1788
Fax
(215) 732-5490
NPI assigned
Oct 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN005788 PA
Family Nurse Practitioner 363LF0000X RN10037692 MA Primary

Addresses

Primary practice location

1233 Locust St FL 4
Philadelphia, PA 19107-5459

Mailing address

1233 Locust St
3Rd Floor
Philadelphia, PA 19107-5453
Phone (215) 985-4448

Other practice location 1

315 S Broad St
Philadelphia, PA 19107-5213
Phone (267) 725-0252

Other practice location 2

1207 Chestnut St Fl 5
Philadelphia, PA 19107-4131
Phone (215) 525-8600

Other practice location 3

1207 Chestnut St Fl 3
Philadelphia, PA 19107-4131
Phone (267) 725-0252

Other practice location 4

2513 Frankford Ave Apt F2
Philadelphia, PA 19125-1708
Phone (484) 553-5911

Other identifiers 1

IdentifierTypeStateIssuer
103230301MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20260420003064 MA Practitioner - Nurse Practitioner 1153602172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1049 Main St
Springfield, MA 01103-2114

PO Box
Suite 5478
Pawtucket, RI 02862-5478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN005788PAMDRegistered Dietitian
RN10037692MAMDFamily Nurse Practitioner

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.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1447621289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 LOCUST ST",
            "address_2": "3RD FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075453",
            "telephone_number": "215-985-4448",
            "fax_number": "215-985-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 LOCUST ST FL 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075459",
            "telephone_number": "215-790-1788",
            "fax_number": "215-732-5490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075213",
            "country_code": "US",
            "telephone_number": "267-725-0252",
            "fax_number": "215-732-1046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 Chestnut St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074131",
            "country_code": "US",
            "telephone_number": "215-525-8600",
            "fax_number": "215-564-8606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 Chestnut St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074131",
            "country_code": "US",
            "telephone_number": "267-725-0252",
            "fax_number": "215-732-1046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2513 Frankford Ave Apt F2",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191251708",
            "country_code": "US",
            "telephone_number": "484-553-5911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKHARDT",
        "first_name": "KIMBERLY",
        "name_prefix": "Miss",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN005788",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN10037692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103230301",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.