Elizabeth Ann Kirk, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

S001061 Issued in AR

Practice address

8060 Counts Massie Rd Integrated Care Professionals
Maumelle, AR 72113-6657

Phone

(479) 968-8279

Fax

(479) 250-0500

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Icp Arkansas Aco Billing LLC

  • Clinical Nurse Specialist
  • Maumelle, AR
  • NPI 1679157838
  Medicare reassignment NPD
• Integrated Care Professionals, LLC

  • Clinical Nurse Specialist
  • Little Rock, AR
  • NPI 1164762662
  Medicare reassignment NPD
• SHC Medical Partners of Arkansas, LLC

  • Nurse Practitioner
  • Little Rock, AR
  • NPI 1821830795
  Medicare reassignment NPD
• Icarepro of Texas, PA

  • Clinical Nurse Specialist
  • Texarkana, TX
  • NPI 1396193066
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1235161829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 COUNTS MASSIE RD INTEGRATED CARE PROFESSIONALS",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136657",
            "telephone_number": "479-968-8279",
            "fax_number": "479-250-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 COUNTS MASSIE RD INTEGRATED CARE PROFESSIONALS",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136657",
            "telephone_number": "479-968-8279",
            "fax_number": "479-250-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "S001061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUECROSS BLUESHIELDE",
            "identifier": "5W668",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Keith
• Kristina D Keller, LPC
• Justin Kerr, PHARMD
• Caitlin Ketcher, M.S., SLP-CFY
• Kids Being Kids Therapy LLC
• Olivia Josephine Kordsmeier
• Kroger Limited Partnership I (Kroger Pharmacy)
• Tiffany Lack, APRN, FNP-BC
• Jennifer Lang, PHD
• Latched in Love LLC

• Nurse Practitioner in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.