MICHELLE KIRK (NPI# 1356792014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356792014 |
| Entity Type | Individual |
| Full Name | MICHELLE KIRK |
| Practice Address |
4747 S Broadway Ave Wichita KS 67216-1739 |
| Practice Telephone | 3165293084 |
| Mailing Telephone | 3165293084 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 53-77242 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5377242092 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659655801 | Michelle M Kirk | Student in an Organized Health Care Education/Training Program | 8 Forge Mann Park East. St., Franklin, MA 02038 | 2011-10-06 |
| 1144883083 | Michelle Lee Kirk | Student in an Organized Health Care Education/Training Program | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2019-04-16 |
| 1922405257 | Michelle Kirk | Music Therapist | 119 N 8th St, Lebanon, PA 17046-5011 | 2014-12-02 |
| 1477818235 | Michelle Nguyen Kirk | Optometrist | 10088 Adams Ave, Huntington Beach, CA 92646-4905 | 2012-07-09 |
| Street Address |
4747 S BROADWAY AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67216-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205877644 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 4747 S Broadway Ave, Wichita, KS 67216 | 2006-06-09 |
| 1720698772 | Emily Paige Shaffer | Nurse Practitioner | 4747 S Broadway Ave, Wichita, KS 67216-1739 | 2020-08-05 |
| 1760953079 | Chelsea Rae Schroeder | Nurse Practitioner | 4747 S Broadway Ave, Wichita, KS 67216-1739 | 2018-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104108422 | Howard W Hackney | Pharmacist | 5555 S. Broadway, Wichita, KS 67216 | 2011-09-13 |
| 1316057185 | Jimmy Lee Shadid | Dentist | 3367 E 47th South, Wichita, KS 67216 | 2006-08-30 |
| 1790399376 | Miresha Andrews | Massage Therapist | 2851 S Mead St, Wichita, KS 67216-1112 | 2020-09-01 |
| 1629534250 | Mandilyn Coffman | Pharmacist | 2627 S Santa Fe St, Wichita, KS 67216-1132 | 2019-02-19 |
| 1780245522 | Monday T Akintuyi | Registered Nurse | 2828 S Ida St, Wichita, KS 67216-1353 | 2019-06-24 |
| 1740841493 | Compassionate Home Health LLC | Registered Nurse | 2828 S Ida St, Wichita, KS 67216-1353 | 2019-06-24 |
| 1114460813 | Ariel Clementi | Social Worker | 1201 E Jump St, Wichita, KS 67216-1360 | 2016-11-29 |
| 1205319472 | Blue Moon Therapy LLC | Clinic/Center | 400 N Woodlawn, Suite 100, Wichita, KS 67216-1360 | 2018-09-12 |
| 1871106740 | Stevie Jonae Metts | Technician | 1207 E Del Mar St, Wichita, KS 67216-1535 | 2020-08-28 |
| 1376001677 | Holly Lynn Paine | Counselor | 3446 S Ida St, Wichita, KS 67216-1558 | 2019-03-05 |
| Find all providers in zip 67216 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355473 | Judith Anne Shilling | Nurse Practitioner | 362 N Milstead St, Wichita, KS 67212-5428 | 2020-10-28 |
| 1760092894 | Laura Lea Aronis | Nurse Practitioner | 3103 N Sedgwick St, Wichita, KS 67204-4118 | 2020-08-04 |
| 1326663394 | Evolve Diabetes LLC. | Nurse Practitioner | 6805 W Northwind Cir, Wichita, KS 67205-2583 | 2020-06-15 |
| 1619505567 | Brook Moore | Nurse Practitioner | 328 N Mark Allen St, Wichita, KS 67212-5455 | 2020-03-27 |
| 1104483098 | Advanced Infusion and Wellness Center, LLC | Nurse Practitioner | 10333 E 21st St N Ste 106, Wichita, KS 67206-3544 | 2019-05-25 |
| 1861978421 | Celeste Delaine Grothusen | Nurse Practitioner | 3510 N Ridge Rd Ste 100, Wichita, KS 67205-1210 | 2018-07-17 |
| 1235666900 | Amanda A Ewertz | Nurse Practitioner | 3715 N. Oliver St., Wichita, KS 67220 | 2017-05-12 |
| 1851672141 | Keri Dawn Spencer | Nurse Practitioner | Heartland Home Health & Hospice, 2872 N Ridge Road Suite 122, Wichita, KS 67205-1144 | 2011-08-31 |
| 1558657023 | Debbie Dao | Nurse Practitioner | 2622 W Central Ave Ste 101, Wichita, KS 67203-4970 | 2011-06-23 |
| 1942507785 | Jill D. Crotty | Nurse Practitioner | 551 N Hillside St Ste 510, Wichita, KS 67214-4928 | 2011-02-14 |
| Find all providers in WICHITA | ||||
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| 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.