Lawanda L Kirkland

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

865575 Issued in MS

Practice address

298 Commerce Park Dr Ste D
Ridgeland, MS 39157-2237

Phone

(601) 790-1260

Fax

(601) 605-7060

NPI assigned

Feb 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Embassy Home Care, LLC

  • Nursing Care Agency
  • Ridgeland, MS
  • NPI 1063046902
  NPD Authorized official
• Embassy Home Care, LLC

  • Community/Behavioral Health Agency
  • Ridgeland, MS
  • NPI 1891629036
  NPD Authorized official

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1194357202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 COMMERCE PARK DR STE D",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572237",
            "telephone_number": "601-790-1260",
            "fax_number": "601-605-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 COMMERCE PARK DR STE D",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572237",
            "telephone_number": "601-790-1260",
            "fax_number": "601-605-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "LAWANDA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "MS",
            "license": "865575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingswell LLC
• Kingswell LLC
• Kingswell LLC
• Tracey Kinsey
• Amy Minga Kirk, SLP
• Jennifer Kisner, APRN
• Nicole Kitchens
• KMF Physician Services LLC
• E Euree Knight, LPTA
• Susan Ward Kosko, DPT

• Administrator Registered Nurse in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Administrator Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.