MRS. ELIZABETH R. BURCKARDT (NPI# 1386843233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386843233 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH R. BURCKARDT |
| Credential | ARNP |
| Practice Address |
401 E Chestnut St Unit 690 Louisville KY 40202-5706 |
| Mailing Address |
Po Box 909 Louisville KY 40201-0909 |
| Practice Telephone | 5028525841 |
| Practice Fax Number | 5028521359 |
| Mailing Telephone | 5028525841 |
| Mailing Fax Number | 5028521359 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2019-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 3005216 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
3005218 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | SIHO | 106198 | 01 |
| KY | ANTHEM | 000000626497 | 01 |
| KY | 7100013980 | 05 | |
| KY | RAILROAD MEDICARE KY | P00824827 | 01 |
| KY | HUMANA - NNIKY | 000028412N | 01 |
| KY | PASSPORT - CTS | 50048427 | 01 |
| KY | PASSPORT | 50025465 | 01 |
| KY | ANTHEM - NNIKY | 000000642019 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3 Audubon Plaza Dr, Suite 560, Louisville, KY 402171300 | 5026368004 | 5026368334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588081749 | Elizabeth Self Burckardt | Otolaryngology | 6420 Dutchmans Pkwy Ste 380, Louisville, KY 40205-3355 | 2014-03-26 |
| Street Address |
401 E CHESTNUT ST UNIT 690 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659402287 | Dawn Jaclyn Caster | Internal Medicine | 401 E Chestnut St Unit 690, Louisville, KY 40202-5706 | 2007-03-07 |
| 1639782980 | Rebecca Thomas | Physician Assistant | 401 E Chestnut St Unit 690, Louisville, KY 40202-5706 | 2020-08-26 |
| 1295173417 | Juan Manuel Galvis | Internal Medicine | 401 E Chestnut St Unit 690, Louisville, KY 40202-5706 | 2013-06-10 |
| 1760747430 | Karthikeyan Venkatachalam | Internal Medicine | 401 E Chestnut St Unit 690, Louisville, KY 40202-5706 | 2012-07-09 |
| 1083933675 | Alex Michael Ng | Internal Medicine | 401 E Chestnut St Unit 690, Louisville, KY 40202-5706 | 2010-05-22 |
| 1619105434 | Rania Abdallah | Internal Medicine | 401 E Chestnut St Unit 690, Louisville, KY 40202-5706 | 2009-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329959 | Margaret Taylor Stevenson | Nurse Practitioner | 9302 Villa Fair Ct, Louisville, KY 40291-1493 | 2020-02-27 |
| 1710469994 | Edumedics | Nurse Practitioner | 201 E Jefferson St., Ste 102, Louisville, KY 40202 | 2018-09-04 |
| 1316312630 | Julianne Evers | Nurse Practitioner | 200 Chestnut Street, Louisville, KY 40202 | 2015-12-11 |
| 1194198606 | Javier Rodriguez | Nurse Practitioner | 2523 Wendell Ave, Louisville, KY 40205-3011 | 2015-11-05 |
| 1285067827 | Stephanie Jo Ford | Nurse Practitioner | 550 S. Jackson Street, Department of Pulmonary Disease, Louisville, KY 40202 | 2013-08-19 |
| 1093916900 | Judi Lynn Kuric | Nurse Practitioner | 4001 Kresge Way Ste 238, Louisville, KY 40207-4640 | 2007-05-29 |
| 1346233970 | Kimberly S Meyer | Nurse Practitioner | 220 Abraham Flexner Way # 1200, Louisville, KY 40202-3826 | 2005-08-30 |
| 1881292548 | Elizabeth Ann Blandford | Nurse Practitioner | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-15 |
| 1275147530 | Sarah Elizabeth Holloway | Nurse Practitioner | 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241-2847 | 2020-09-03 |
| 1659989226 | Jennifer Leigh Austin | Nurse Practitioner | 3 Audubon Plaza Dr Ste 560, Louisville, KY 40217-1376 | 2020-07-20 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on MRS. ELIZABETH R. BURCKARDT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.