Individual provider Active NPI

Katherine Estelle Kirkie, RN

  • Home Health Registered Nurse
  • Fort Thompson, SD
National Provider Identifier
1053903047
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN021966 Issued in SD
Practice address
1323 Bia RT 4
Fort Thompson, SD 57339-0200
Phone
(605) 245-1540
Fax
(605) 245-2384
NPI assigned
Feb 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN021966 SD Primary

Addresses

Primary practice location

1323 Bia RT 4
Fort Thompson, SD 57339-0200

Mailing address

PO Box 200
Fort Thompson, SD 57339-0200
Phone (605) 245-1586

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN021966SDMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Thompson Indian Health Service PastSince Feb 14, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1053903047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200",
            "city": "FORT THOMPSON",
            "state": "SD",
            "postal_code": "573390200",
            "telephone_number": "605-245-1586",
            "fax_number": "605-245-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 BIA RT 4",
            "city": "FORT THOMPSON",
            "state": "SD",
            "postal_code": "573390200",
            "telephone_number": "605-245-1540",
            "fax_number": "605-245-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKIE",
        "first_name": "KATHERINE",
        "middle_name": "ESTELLE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "SD",
            "license": "RN021966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Thompson, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.