Individual provider Active NPI

Deanna L Kirk, NP

  • Family Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1225268519
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71002985A Issued in IN
Practice address
12425 Old Meridian St Ste B3
Carmel, IN 46032-8725
Phone
(317) 903-2080
Fax
(317) 219-0880
NPI assigned
Jul 21, 2009
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71002985A IN Primary

Addresses

Primary practice location

12425 Old Meridian St Ste B3
Carmel, IN 46032-8725

Mailing address

12425 Old Meridian St Ste B3
Carmel, IN 46032-8725
Phone (317) 903-2080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71002985AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Wellness of Carmel, LLC CurrentSince Jul 13, 2015 Accepting new patients
Integrative Health Specialist of Indiana PC CurrentSince Apr 2, 2013 Accepting new patients

Locations

11900 Pennsylvania St
Ste 200
Carmel, IN 46032
Phone (317) 663-7123

9333 N Meridian St
Ste 2
Indianapolis, IN 46260
Phone (317) 580-9333

9333 N Meridian St
Ste 202
Indianapolis, IN 46260
Phone (317) 580-9333

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": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1225268519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12425 OLD MERIDIAN ST STE B3",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328725",
            "telephone_number": "317-903-2080",
            "fax_number": "317-219-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 OLD MERIDIAN ST STE B3",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328725",
            "telephone_number": "317-903-2080",
            "fax_number": "317-219-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "DEANNA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002985A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.