Active NPI
Kirby Health Care, P. C.
- Family Nurse Practitioner
- Rapid City, SD
National Provider Identifier
1043354319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0330
- Legal business name
- KIRBY HEALTH CARE, P. C.
- Practice address
- 1501 Centre St Ste 102
Rapid City, SD 57703-3004 - Phone
- (605) 484-9775
- Fax
- (605) 343-3007
- NPI assigned
- Feb 19, 2007
- 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
- Ms. Paulette Angela Kirby, CNP
- Title
- Owner
- Phone
- (605) 484-9775
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Family Nurse Practitioner | 363LF0000X | 0330 | SD | Primary |
Addresses
Primary practice location
1501 Centre St Ste 102
Rapid City, SD 57703-3004
Mailing address
1501 Centre St Ste 102
Rapid City, SD 57703-3004
Phone (605) 343-3007
National Provider Directory
National Provider DirectoryLocations
1501 Centre St
Ste 102
Rapid City, SD 57703
Phone (605) 484-9775
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Rapid City, SD
- NPI 1033189790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638316800000",
"number": "1043354319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 CENTRE ST STE 102",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577033004",
"telephone_number": "605-343-3007",
"fax_number": "605-343-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 CENTRE ST STE 102",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577033004",
"telephone_number": "605-484-9775",
"fax_number": "605-343-3007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRBY HEALTH CARE, P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A",
"authorized_official_last_name": "KIRBY",
"authorized_official_first_name": "PAULETTE",
"authorized_official_middle_name": "ANGELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-484-9775",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "0330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.