Individual provider Active NPI

Christopher Burkett, REGISTERED DIETITIAN

  • Registered Dietitian
  • Fort Liberty, NC
National Provider Identifier
1790246304
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86043939
Practice address
Womack Army Medical Center 2817 Rock Merritt Ave
Fort Liberty, NC 28310-0001
Phone
(410) 430-4102
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86043939 Primary

Addresses

Primary practice location

Womack Army Medical Center 2817 Rock Merritt Ave
Fort Liberty, NC 28310-0001

Mailing address

Womack Army Medical Center 2817 Rock Merritt Ave
Fort Liberty, NC 28310-0001
Phone (410) 430-4102

Other identifiers 1

IdentifierTypeStateIssuer
86043939OtherCOMISSION ON DIETETICS REGISTRATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christopher.burkett@us.kbr.com

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

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1790246304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "410-430-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "410-430-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "CHRISTOPHER",
        "credential": "REGISTERED DIETITIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86043939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMISSION ON DIETETICS REGISTRATION",
            "identifier": "86043939",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher.burkett@us.kbr.com",
            "affiliation": "N",
            "address_1": "Stone Bay Base RR136",
            "city": "FPO",
            "state": "AA",
            "country_code": "US",
            "postal_code": "28445",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "other_names": []
}

Other providers in Fort Liberty, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.