Individual provider Active NPI

Kristen F Kirby, DNP, FNP-BC, CNE

  • Family Nurse Practitioner
  • Lafayette, IN
National Provider Identifier
1144361692
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002901A Issued in IN
Practice address
2200 Elmwood Ave Ste D11
Lafayette, IN 47904-2391
Phone
(765) 756-5077
Fax
(800) 810-3955
NPI assigned
Feb 9, 2007
Last updated
May 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71002901A IN Primary
Family Nurse Practitioner 363LF0000X 28152109A IN
Perinatal Registered Nurse 163WP1700X 28152109A IN

Addresses

Primary practice location

2200 Elmwood Ave Ste D11
Lafayette, IN 47904-2391

Mailing address

5627 Roseberry RDG
Lafayette, IN 47905-8507
Phone (655) 860-2507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240803000416 IN Order and Referring Only - Nurse Practitioner 7113074899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71002901AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neo Vision PC CurrentSince May 19, 2024 Accepting new patients
Riggs Community Health Center Inc PastSince Sep 24, 2018 Accepting new patients
Riggs Community Health Center Inc Past Accepting new patients

Locations

2200 Elmwood Ave
Ste D11
Lafayette, IN 47904
Phone (765) 446-2814

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1144361692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 ROSEBERRY RDG",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058507",
            "telephone_number": "655-860-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 ELMWOOD AVE STE D11",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042391",
            "telephone_number": "765-756-5077",
            "fax_number": "800-810-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "KRISTEN",
        "middle_name": "F",
        "name_prefix": "Prof.",
        "credential": "DNP, FNP-BC, CNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002901A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28152109A",
            "primary": false
        },
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "IN",
            "license": "28152109A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.