NICOLE DEE KIRK APRN NPI 1598378986

NPI Information

NPI: 1598378986
Provider Name: NICOLE DEE KIRK, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4747 S BROADWAY AVE
WICHITA, KS
ZIP 67216
Phone: (316) 529-3084
Get Directions

Nicole Dee Kirk, APRN is a family nurse practitioner in Wichita, KS with 5 years of experience. Nicole Dee Kirk, APRN NPI is 1598378986. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4747 S BROADWAY AVE
WICHITA, KS
ZIP 67216-739
Phone: (316) 529-3084

The NPI 1598378986 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/26/2020 and was last updated on 9/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	F01200572	KANSAS	No
2	363LF0000X	Nurse Practitioner	Family	5379282012	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201337300A	MEDICAID	KANSAS
2	1598378986	OTHER	KANSAS	NPI
3	53-79282-012	OTHER	KANSAS	KANSAS STATE BOARD OF NURSING
4	112613	OTHER	KANSAS	KSBN-RN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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