Jaclyn Burkett, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F402633-1 Issued in NY

Practice address

329 N Salina St
Syracuse, NY 13203-1755

Phone

(315) 471-1564

NPI assigned

Oct 8, 2009

Last updated

Aug 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 NY

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jburkett@hiemail.healtheconnections.org

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.

• Cortland County County Treasurer

  dba Cortland County Mental Health

  • Clinical Social Worker
  • Cortland, NY
  • NPI 1821001579

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Cortland County Health Department Nursing Clinics

  • Medical Specialty Clinic/Center
  • Cortland, NY
  • NPI 1821165416
  NPD
• Jacobus Center for Reproductive Health

  • Ambulatory Family Planning Facility
  • Cortland, NY
  • NPI 1609876564
  NPD

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1942535034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 47TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031755",
            "telephone_number": "315-471-1564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4306 Candlelight Ln",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130903852",
            "country_code": "US",
            "telephone_number": "315-708-7466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "JACLYN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402633-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaryn L Burke, LPN
• Maureen Burke, MD
• Patrick Burke, MD
• Sarah G Burke, MD
• Catherine M Burkett, PA
• Kelly L Burkett, MS, CRC, LMHC
• Chad Michael Burlee, PA-C
• Crenesha Teola Burley, LPN
• Jordan Burlingame, OTR
• Burnet Pharmacy, LLC

• Psychiatric/Mental Health Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.