Active NPI
Carys A Kirk, PA
- Physician Assistant
- Salem, NH
National Provider Identifier
1154422962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0447
- Practice address
- 16 Pelham Rd
Suite 1
Salem, NH 03079-2826 - Phone
- (603) 898-2244
- Fax
- (603) 898-2227
- NPI assigned
- Sep 26, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0447 | NH | Primary |
Addresses
Primary practice location
16 Pelham Rd
Suite 1
Salem, NH 03079-2826
Mailing address
6 Tsienneto Rd
Ste 300
Derry, NH 03038-1584
Phone (603) 216-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040715000695 | NH | Practitioner - Physician Assistant | 7113906983 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0447 | NH | MD | Physical Therapy Assistant |
Interoperability endpoints
- caryskirk@snhima.allscriptsdirect.net
- ckirk@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463529600000",
"number": "1154422962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 TSIENNETO RD",
"address_2": "STE 300",
"city": "DERRY",
"state": "NH",
"postal_code": "030381584",
"telephone_number": "603-216-0400",
"fax_number": "603-216-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 PELHAM RD",
"address_2": "SUITE 1",
"city": "SALEM",
"state": "NH",
"postal_code": "030792826",
"telephone_number": "603-898-2244",
"fax_number": "603-898-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "CARYS",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2016-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "0447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.