Kimberly R Sirk, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71004015A Issued in IN

Practice address

9120 Connecticut St Ste a
Merrillville, IN 46410-7015

Phone

(219) 793-1233

Fax

(219) 793-1244

NPI assigned

Jul 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gerald Lewis Inc.

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Valparaiso, IN
  • NPI 1053650887
  NPD (past)

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1114281466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 CONNECTICUT ST STE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107015",
            "telephone_number": "219-793-1233",
            "fax_number": "219-793-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 CONNECTICUT ST STE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107015",
            "telephone_number": "219-793-1233",
            "fax_number": "219-793-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRK",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71004015A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirnjot Singh, M.D.
• Chloe Singleton
• Vikash Kumar Sinha, MD
• Samantha Sipes
• April Sirbas
• Summer Skibbe, RBT
• Samantha Skoczylas, PSYD
• Andrew Michael Skripac, RPH
• Nathan Skrobot
• Avery Skura, SLP

• Psychiatric/Mental Health Nurse Practitioner in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.