Cara L Zirkle, RN
Individual provider Active NPI Driver · Harveyville, KS
NPI 1003957192 · NPPES record last updated Jun 24, 2019
Key facts
- NPI
- 1003957192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- X02-18-5388 (KS)
- Practice address
- 12003 Old Log House Rd
Harveyville, KS 66431-9288 - Phone
- (785) 608-1963
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-159044-071 | KS | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 13-159044-071 | KS | |
| Driver | 172A00000X | X02-18-5388 | KS | Yes |
Addresses
Primary practice location
12003 Old Log House Rd
Harveyville, KS 66431-9288
Mailing address
12003 Old Log House Rd
Harveyville, KS 66431-9288
Phone (785) 608-1963
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100392130A | Medicaid | KS |
Other providers in Harveyville, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.