Organization Active NPI

Kirby Health Care, P. C.

  • Family Nurse Practitioner
  • Rapid City, SD
National Provider Identifier
1043354319
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0330 Issued in SD
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

Updated by the provider on Dec 1, 2021

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

Authorized official

Name
Ms. Paulette Angela Kirby, CNPNPI 1033189790
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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.