Kimberly Kay Burdette, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP018765 Issued in PA

Practice address

302 Pinetown Rd
Hanover, PA 17331-9003

Phone

(717) 372-6769

NPI assigned

May 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 and National Provider Directory roles.

• Longevity Long Term Medical Care of Pennsylvania PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Harrisburg, PA
  • NPI 1720796196
  Medicare reassignment NPD

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1609365469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 LINCOLN WAY E",
            "city": "FAYETTEVILLE",
            "state": "PA",
            "postal_code": "172229552",
            "telephone_number": "717-372-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 PINETOWN RD",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173319003",
            "telephone_number": "717-372-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDETTE",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brockie Healthcare Inc (Brockie Pharmatech)
• Tara Bryan
• Alana Buchheit, PA-C
• Buckley Chiropractic Center PC
• Brenden K Buckley, D.C.
• Misty Hardin Burrows, OTR
• Daniel Michael Calder, FNP-C
• Terrence M Calder, M.D.
• Bonnie Marie Calhoun, M.S., CCC-SLP
• Amanda Christine Campbell, CCC-SLP

• Family Nurse Practitioner in Hanover, PA
• Providers in Hanover, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.