NPIMap

Individual provider Active NPI

Elizabeth A. Burkett, DO

  • Family Medicine Physician
  • High Springs, FL
National Provider Identifier
1902870868
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS6882 Issued in FL
Practice address
16916 NW US Highway 441
High Springs, FL 32643-8102
Phone
(386) 454-0568
Fax
(352) 224-7899
NPI assigned
Feb 15, 2006
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34007924 OH
Family Medicine Physician 207Q00000X OS6882 FL Primary

Addresses

Primary practice location

16916 NW US Highway 441
High Springs, FL 32643-8102

Mailing address

23476 NW 186TH Ave
High Springs, FL 32643-0673
Phone (386) 454-0698

Other practice location 1

630 N Main St
Williston, FL 32696-1705
Phone (352) 528-0587

Other identifiers 2

IdentifierTypeStateIssuer
2356249MedicaidOH
276105000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070612000723 FL Practitioner - Family Practice 3577661784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Trenton Medical Center IncGroup PAC ID 2365359387, 71 clinicians
Lake Area Physical Therapy Inc.Group PAC ID 3678604840, 372 clinicians

Practice addresses (Care Compare)

630 N Main St
Williston, FL 32696-1705
Phone (352) 528-0587

PO Box
Suite 1099
Melrose, FL 32666-1099

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34007924OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trenton Medical Center, Inc. CurrentSince Dec 30, 2020 Accepting new patients
Trenton Medical Center Inc CurrentSince Dec 30, 2020 Accepting new patients
Trenton Medical Center Inc Current Accepting new patients

Locations

1830 N Main St
Bell, FL 32619
Phone (352) 463-1100

103 US Highway 27 SW
Branford, FL 32008
Phone (386) 395-3090

410 N Main St
Ste 12
Chiefland, FL 32626
Phone (352) 493-1686

2349 Village Square Pkwy
Ste 110111
Fleming Island, FL 32003
Phone (904) 385-2023

200 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 265-9484

16916 NW US Highway 441
High Springs, FL 32643
Phone (386) 454-0568

23343 NW County Road 236
High Springs, FL 32643

23476 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0568

173 NW Albritton Ln
Lake City, FL 32055
Phone (386) 755-4020

4784 W US Highway 90
Lake City, FL 32055
Phone (386) 269-9260

211 Ranchera St NW
Live Oak, FL 32064
Phone (386) 364-1751

922 E Call St
#100
Starke, FL 32091
Phone (904) 364-2900

911 S Main St
Trenton, FL 32693
Phone (352) 463-2374

630 N Main St
Williston, FL 32696
Phone (352) 528-0587

Organizations & group practices 4

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1902870868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23476 NW 186TH AVE",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326430673",
            "telephone_number": "386-454-0698",
            "fax_number": "386-454-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16916 NW US HIGHWAY 441",
            "city": "HIGH SPRINGS",
            "state": "FL",
            "postal_code": "326438102",
            "telephone_number": "386-454-0568",
            "fax_number": "352-224-7899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 N Main St",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "FL",
            "postal_code": "326961705",
            "country_code": "US",
            "telephone_number": "352-528-0587",
            "fax_number": "352-528-4834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007924",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS6882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2356249",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276105000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Springs, FL

Sources for this page

Verify at the official NPI Registry.