Organization Active NPI

Patricia a Kirk DPM

  • Durable Medical Equipment & Medical Supplies
  • Lexington, TN
National Provider Identifier
1023376134
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
687 Issued in TN
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Dr. Patricia Ann Kirk, DPMNPI 1376575969
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20120622000140 TN DME Supplier - Physician - Podiatry 2163687278 Practice locations: Lexington, TN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.