Individual provider Active NPI

Jennifer Burkett

  • Pediatric Nurse Practitioner
  • Cantonment, FL
National Provider Identifier
1588102495
Registry record updated Feb 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP9326948 Issued in FL
Practice address
185 Crossville St
Cantonment, FL 32533-6586
Phone
(850) 416-7724
NPI assigned
Feb 11, 2017
Last updated
Feb 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP9326948 FL Primary

Addresses

Primary practice location

185 Crossville St
Cantonment, FL 32533-6586

Mailing address

185 Crossville St
Cantonment, FL 32533-6586
Phone (850) 416-7724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230307001079 AL Practitioner - Nurse Practitioner 2365729472 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9326948FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Urgent Care, LLC CurrentSince Jan 1, 2023 Accepting new patients
Urgent Care for Children, PLLC Pediatrics PastSince Oct 11, 2020 Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273

Interoperability endpoints

  • Direct secure messaging: jennifer.burkett.1@9582.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486771200000",
    "number": "1588102495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CROSSVILLE ST",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325336586",
            "telephone_number": "850-416-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CROSSVILLE ST",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325336586",
            "telephone_number": "850-416-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-11",
        "last_updated": "2017-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9326948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cantonment, FL

Sources for this page

Verify at the official NPI Registry.