Active NPI
Jodi Roberts Kirk, MS, CCC-SLP
- Speech-Language Pathologist
- Hickman, KY
National Provider Identifier
1083742704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2072
- Practice address
- 2205 State Route 1129 S
Hickman, KY 42050-7205 - Phone
- (270) 838-6641
- Fax
- (270) 838-6641
- NPI assigned
- Mar 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2072 | KY | Primary |
Addresses
Primary practice location
2205 State Route 1129 S
Hickman, KY 42050-7205
Mailing address
2205 State Route 1129 S
Hickman, KY 42050-7205
Phone (270) 838-6641
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083742704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 STATE ROUTE 1129 S",
"city": "HICKMAN",
"state": "KY",
"postal_code": "420507205",
"telephone_number": "270-838-6641",
"fax_number": "270-838-6641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 STATE ROUTE 1129 S",
"city": "HICKMAN",
"state": "KY",
"postal_code": "420507205",
"telephone_number": "270-838-6641",
"fax_number": "270-838-6641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "JODI",
"middle_name": "ROBERTS",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "2072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickman, KY
- Ashok Kumar Reddy Chada, M.D
- City of Hickman (City of Hickman Ambulance Service)
- Fulton County Schools
- Hospital of Fulton Inc (Hickman Fulton County Medical Center)
- Hospital of Fulton, Inc. (Hickman-Fulton County Medical Clinic)
- Lyndsi Knox, RN
- Medcare Inc (MedCare Pharmacy & Home Medical)
- Parkway Regional Medical Clinic, Inc (Hickman-Fulton County Medical Clinic)
- Pinelake Physician Practice LLC (Jackson Purchase Primary Care Hickman Clinic)
- Purchase District Health Department (Fulton County School Clinic)
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.