Jessica Shea Kirkland, PTA

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

Practice address

629 Gallher Rd
Kingston, TN 37763

Phone

(865) 376-3416

NPI assigned

Mar 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1124445937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 GALLAHER RD",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377634215",
            "telephone_number": "865-376-3416",
            "fax_number": "865-376-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 GALLHER RD",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "37763",
            "telephone_number": "865-376-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "JESSICA",
        "middle_name": "SHEA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TN",
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingston Dental LLC
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• Kingston Family Practice, P.C.
• Kingston Urgent Care and Family Medicine LLC
• Kinser Drugs Inc
• Sabina Laclair
• Larry D Ladd, BSPT
• Tina S Ladd, PHARM D
• Lakeview Dental Arts
• Eric Larson

• All providers in Kingston, TN
• Neurology Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.