Active NPI
Tammy Kay Kirby, ARNP-C
- Family Nurse Practitioner
- Greenville, MI
National Provider Identifier
1124401351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704366668
- Practice address
- 1202 W Oak St
Greenville, MI 48838-2155 - Phone
- (616) 754-4685
- NPI assigned
- Jul 7, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704366668 | MI | Primary |
Addresses
Primary practice location
1202 W Oak St
Greenville, MI 48838-2155
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704366668 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients |
Locations
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
3300 E Halifax Crossing Blvd
Deltona, FL 32725
Phone (386) 425-1800
1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835
11921 Fulton St E
#B
Lowell, MI 49331
Phone (616) 421-2724
Interoperability endpoints
- tkirby2721714@direct.trinity-health.org
- tkirby271458@epic00.shdirect.org
Organizations & group practices 4
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.
-
- Clinical Medical Laboratory
- Kalamazoo, MI
- NPI 1891469631
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
-
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1881358489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1124401351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE # MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 W OAK ST",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488382155",
"telephone_number": "616-754-4685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "TAMMY",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704366668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.