Susan Lee Kirkle, ADULT PSYCH MH NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

150726 Issued in MO

Practice address

724 N 22ND St
Saint Joseph, MO 64506-2604

Phone

(816) 364-1501

Fax

(816) 364-6735

NPI assigned

Aug 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Lee Sandvik Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Guidance Center for Behavioral HealthcareGroup PAC ID 6800707571, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Family Guidance Center for Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Saint Joseph, MO
  • NPI 1932225141
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1003240607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 N 22ND ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062604",
            "telephone_number": "816-364-1501",
            "fax_number": "816-364-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 N 22ND ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062604",
            "telephone_number": "816-364-1501",
            "fax_number": "816-364-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLE",
        "first_name": "SUSAN",
        "middle_name": "LEE",
        "credential": "ADULT PSYCH MH NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "150726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SANDVIK",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emad A Khan, MD
• Rintu Intekhab Khan, MD
• Ruth A Kiekhaefer, PNP
• Morgan Kieser, LPC
• Deborah A Kinnamon, APN
• Landon R. Kleeb, CRNA
• James E Kline, MD
• Jennifer D Kline, LCSW
• Joseph Michael Kline, MSW, LCSW, LSCSW
• Megan Kline, PTA

• Psychiatric/Mental Health Nurse Practitioner in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.