Active NPI
Patricia a Kirk DPM
- Durable Medical Equipment & Medical Supplies
- Lexington, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 687
- Legal business name
- PATRICIA A KIRK DPM
- Practice address
- 9486 Highway 412 West
Lexington, TN 38351-5713 - Phone
- (731) 249-5230
- Fax
- (731) 506-4888
- NPI assigned
- Apr 26, 2012
- Last updated
- Jun 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patricia Ann Kirk, DPM
- Title
- Owner
- Phone
- (731) 249-5230
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 687 | TN | Primary |
Addresses
Primary practice location
9486 Highway 412 West
Lexington, TN 38351-5713
Mailing address
9486 Highway 412 West
Lexington, TN 38351-5713
Phone (731) 249-5230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120622000140 | TN | DME Supplier - Physician - Podiatry | 2163687278 | Practice locations: Lexington, TN |
National Provider Directory
National Provider DirectoryLocations
9486 Highway 412 W
Lexington, TN 38351
Phone (731) 512-0104
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot Surgery Podiatrist
- Lexington, TN
- NPI 1376575969
Primary Podiatric Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718668800000",
"number": "1023376134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9486 HIGHWAY 412 WEST",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "383515713",
"telephone_number": "731-249-5230",
"fax_number": "731-506-4888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9486 HIGHWAY 412 WEST",
"city": "LEXINGTON",
"state": "TN",
"postal_code": "383515713",
"telephone_number": "731-249-5230",
"fax_number": "731-506-4888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA A KIRK DPM",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-26",
"last_updated": "2024-06-18",
"certification_date": "2024-05-06",
"status": "A",
"authorized_official_last_name": "KIRK",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "731-249-5230",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.