Brenda A Kirtley, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703099161 Issued in MI

Practice address

5181 Plainfield NE
Suite B
Grand Rapids, MI 49525

Phone

(616) 863-9999

NPI assigned

Sep 25, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• BS Compassionate Care,LLC

  • Home Health Agency
  • Greenville, MI
  • NPI 1588243661
  NPD Authorized official
• Meadows by the Lake Inc

  • Assisted Living Facility
  • Greenville, MI
  • NPI 1386223477
  NPD Authorized official

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1386046944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4431 16 MILE RD NE",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "49319",
            "telephone_number": "616-863-9999",
            "fax_number": "616-419-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5181 PLAINFIELD NE",
            "address_2": "SUITE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-863-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRTLEY",
        "first_name": "BRENDA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703099161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Kirkwood, PHARM D.
• Joseph Hasse Kirkwood, DDS
• Tyler Kirkwood
• Melinda Kirn, C.S.W.
• Kathleen Justice Kirtek, M.D.
• Anthony Kirvan
• Melissa Kirvan, NP
• Jessica Kiryanoff, MS, CCC-SLP
• Shelby Lynn Kiser, LLMSW
• Kristen Ann Kish, PH.D., FLP, LPC

• Licensed Practical Nurse in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.