ELAINE KIRK (NPI# 1902978414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902978414 |
| Entity Type | Individual |
| Full Name | ELAINE KIRK |
| Credential | RN |
| Practice Address |
259 W Main St Decaturville TN 38329-8033 |
| Mailing Address |
19370 Highway 57 Middleton TN 38052-4427 |
| Practice Telephone | 7318523112 |
| Practice Fax Number | 7318523222 |
| Mailing Telephone | 7318523112 |
| Mailing Fax Number | 7318523222 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN 6251 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 600019378 | 05 |
| Street Address |
259 W MAIN ST |
| City | DECATURVILLE |
| State | TN |
| Zip Code | 38329-8033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821106725 | Brian White | Social Worker | 259 W Main St, Decaturville, TN 38329-8033 | 2006-08-29 |
| 1578842696 | Keesha Latreace Reid | Nurse Practitioner | 259 W Main St, Decaturville, TN 38329-8033 | 2011-08-07 |
| 1801199286 | Stephanie Wood | Counselor | 259 W Main St, Decaturville, TN 38329-8033 | 2010-12-07 |
| 1649468455 | Holly M Zelno | Counselor | 259 W Main St, Decaturville, TN 38329-8033 | 2007-10-05 |
| 1689734469 | Melissa Isbell | Counselor | 259 W Main St, Decaturville, TN 38329-8033 | 2006-12-11 |
| 1720158819 | Renee L Ruth | Counselor | 259 W Main St, Decaturville, TN 38329-8033 | 2006-11-08 |
| 1356432611 | Tammy R Scott | Counselor | 259 W Main St, Decaturville, TN 38329-8033 | 2006-09-28 |
| 1427157403 | Teresa Nowell | Counselor | 259 W Main St, Decaturville, TN 38329-8033 | 2006-09-22 |
| 1982713111 | Tony Litle | Counselor | 259 W Main St, Decaturville, TN 38329-8033 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184774341 | State of Tennesseee | Public Health or Welfare | 155 North Pleasant Street, Decaturville, TN 38329 | 2007-01-11 |
| 1497835128 | Dana Savage | Counselor | 359 West Main Street, Decaturville, TN 38329 | 2006-10-17 |
| 1740247550 | Westwood Health Care and Rehabilitation Center Inc | Nursing Facility/Intermediate Care Facility | 524 W Main St, Decaturville, TN 38329 | 2006-04-26 |
| 1831221720 | Jonell Montgomery | Registered Nurse | 155 North Pleasant Street, Decaturville, TN 38329 | 2007-03-09 |
| 1649223447 | Ramesh Reddy Keesara | Internal Medicine | 187 W Main St, Decaturville, TN 38329 | 2006-05-19 |
| 1891967931 | K. Ramesh Reddy | Family Medicine | 187 W Main St, Decaturville, TN 38329-0127 | 2008-03-28 |
| 1194855635 | Sheila W Hensley | Registered Nurse | 155 North Pleasant Street, Decaturville, TN 38329-0178 | 2007-03-06 |
| 1184878498 | Jill L Duke | Registered Nurse | 155 N Pleasant St # 178, Decaturville, TN 38329-4084 | 2008-11-13 |
| 1538347604 | Cheryl A Gurley | Nurse's Aide | 155 N Pleasant St, Decaturville, TN 38329-4084 | 2008-01-31 |
| 1164697561 | Melissa Jones | Speech-Language Pathologist | 1847 Old Stage Rd, Decaturville, TN 38329-4445 | 2008-04-25 |
| Find all providers in zip 38329 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972966 | Rebecca Singleton | Nurse Practitioner | 2601 N John B Dennis Hwy Apt 2318, Kingsport, TN 37660-0835 | 2020-11-03 |
| 1205434503 | Sonya Lavet Butler | Nurse Practitioner | 3413 Axelwood Dr, Murfreesboro, TN 37128-3984 | 2020-10-09 |
| 1417554361 | John Pearson Redmond | Nurse Practitioner | 1710 Ghost Creek Dr, Collierville, TN 38017-3425 | 2020-10-05 |
| 1861099061 | Justin Mccord | Nurse Practitioner | 454 Red Hill Center Rd, Lawrenceburg, TN 38464-6842 | 2020-10-01 |
| 1265049977 | Toya Owens | Nurse Practitioner | 2565 Mackinnon Dr, Memphis, TN 38119-7903 | 2020-09-26 |
| 1043827041 | Zamaria Davion Louise Gains | Nurse Practitioner | 7405 Shallowford Rd Ste 230, Chattanooga, TN 37421-7632 | 2020-09-24 |
| 1376158998 | Mary L Dean Turner | Nurse Practitioner | 6727 Stonetrace Dr, Bartlett, TN 38135-3054 | 2020-09-10 |
| 1205447794 | Sana Pathan | Nurse Practitioner | 829 S Sherbrooke Cir, Mount Carmel, TN 37645-4019 | 2020-08-10 |
| 1093325557 | Highland Behavioral Healthcare | Nurse Practitioner | 29 Taylor Ave Ste 204, Crossville, TN 38555-4537 | 2020-08-08 |
| 1225648009 | Angela R Davenport | Nurse Practitioner | 7110 Crossroads Blvd, Brentwood, TN 37027-2826 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
| City | DECATURVILLE |
| Zip Code | 38329 |
Please comment or provide details below to improve the information on ELAINE KIRK.
| 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.