Jessica Nicole Kirchman

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11019472 Issued in FL

Practice address

510 N Parrott Ave
Okeechobee, FL 34972-2645

Phone

(863) 824-3480

NPI assigned

Jun 15, 2022

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2022.

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1144950882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722645",
            "telephone_number": "863-824-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N PARROTT AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722645",
            "telephone_number": "863-824-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHMAN",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "863-824-0588",
            "affiliation": "N",
            "endpointDescription": "Fax Number",
            "address_1": "510 N Parrott Ave",
            "city": "Okeechobee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349722645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin Kielbasa, PHARMD
• Heather Kiernan, M.S.
• Melissa D Kindell, DMD
• Gwendolyn J King, OPTICIAN
• Robert Michael Kinney, DMD
• Cheryl Lynn Kirton
• Valerie Ann Kline, LCSW
• Linda Koff
• Norman Koff, DPM
• Ramesh T Kumar, M.D. P.A.

• All providers in Okeechobee, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.