Susan Kirch, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R210413 Issued in MD

Practice address

151 Willowdale Dr
Apt 32
Frederick, MD 21702-1171

Phone

(631) 487-9781

NPI assigned

Jun 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1376923672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 WILLOWDALE DR",
            "address_2": "APT 32",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217021171",
            "telephone_number": "631-487-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 WILLOWDALE DR",
            "address_2": "APT 32",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217021171",
            "telephone_number": "631-487-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCH",
        "first_name": "SUSAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R210413",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "656740",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "232529-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Kinna, LMSW
• Danielle Kinnamont
• Victoria Kiphart
• Bridget T Kirby
• Olivia Kirby
• Carter D Kircher
• Christina Kirkpatrick, PHYSICIAN ASSISTANT
• Kelly Jane Kirkpatrick
• Kismet Ketamine Psychotherapy & Wellness
• Jessica Kissane

• Registered Nurse in Frederick, MD
• Providers in Frederick, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; 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.