Active NPI
Jill L Kirk, CRT
- Certified Respiratory Therapist
- Breckenridge, TX
National Provider Identifier
1053327478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 64598
- Practice address
- 1226 W Walker St
Breckenridge, TX 76424-3342 - Phone
- (254) 559-2023
- Fax
- (125) 455-9336
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 64598 | TX | Primary |
Addresses
Primary practice location
1226 W Walker St
Breckenridge, TX 76424-3342
Mailing address
1226 W Walker St
Breckenridge, TX 76424-3342
Phone (254) 559-2023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64598 | TX | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053327478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 W WALKER ST",
"city": "BRECKENRIDGE",
"state": "TX",
"postal_code": "764243342",
"telephone_number": "254-559-2023",
"fax_number": "125-455-9336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 W WALKER ST",
"city": "BRECKENRIDGE",
"state": "TX",
"postal_code": "764243342",
"telephone_number": "254-559-2023",
"fax_number": "125-455-9336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "JILL",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "CRT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "TX",
"license": "64598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Breckenridge, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.