Individual provider Active NPI

Kaylan Joy Burkett, NP

  • Family Nurse Practitioner
  • Sun City West, AZ
National Provider Identifier
1972073013
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11737 Issued in AZ
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

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLCGroup PAC ID 5597173252, 4 clinicians

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 Home health agency, Sun City West, AZ, CCN 037413
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
  • Pam Health Rehabilitation Hospital of Surprise Inpatient rehabilitation facility, Surprise, AZ, CCN 033039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11737AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Primary Care Associates PLLC CurrentSince Sep 1, 2021 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.