Active NPI
Kaylan Joy Burkett, NP
- Family Nurse Practitioner
- Sun City West, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11737
- Practice address
- 14420 W Meeker Blvd Ste 207
Sun City West, AZ 85375-5288 - Phone
- (623) 267-6700
- Fax
- (623) 267-6701
- NPI assigned
- Dec 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11737 | AZ | Primary |
Addresses
Primary practice location
14420 W Meeker Blvd Ste 207
Sun City West, AZ 85375-5288
Mailing address
1457 S 167TH Dr
Goodyear, AZ 85338-7313
Phone (810) 874-1190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190205003133 | AZ | Practitioner - Nurse Practitioner | 7517205289 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Westside Primary Care Associates PLLC
Practice addresses (Care Compare)
14420 W Meeker Blvd
Sun City West, AZ 85375-5286
14420 W Meeker Blvd
Suite 107
Sun City West, AZ 85375-5287
Phone (623) 267-6700
865 S Watson Rd
Suite 108
Buckeye, AZ 85326-3468
Phone (623) 267-6700
Hospital & facility affiliations
- Angels Care Home Health of Beech
- Banner del E. Webb Medical Center
- Pam Health Rehabilitation Hospital of Surprise
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11737 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Primary Care Associates PLLC | Current | Accepting new patients |
Locations
865 S Watson Rd
Ste 108
Buckeye, AZ 85326
Phone (623) 267-6700
9179 W Thunderbird Rd
Ste B105
Peoria, AZ 85381
Phone (623) 267-6700
14420 W Meeker Blvd
Ste 207
Sun City West, AZ 85375
Phone (623) 214-2200
14420 W Meeker Blvd
Ste 107
Sun City West, AZ 85375
Phone (623) 267-6700
14420 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 267-6700
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Sun City West, AZ
- NPI 1164017935
AZ
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
Hospital
-
- Home Health Agency
- Sun City West, AZ
- NPI 1376782987
-
- Rehabilitation Hospital
- Surprise, AZ
- NPI 1679954002
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1972073013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1457 S 167TH DR",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853387313",
"telephone_number": "810-874-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14420 W MEEKER BLVD STE 207",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853755288",
"telephone_number": "623-267-6700",
"fax_number": "623-267-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKETT",
"first_name": "KAYLAN",
"middle_name": "JOY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-02",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "11737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City West, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.