Active NPI
Nikki Kirk, ARNP
- Adult Health Nurse Practitioner
- Clearwater, FL
National Provider Identifier
1386651990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 9185967
- Practice address
- 5771 Roosevelt Blvd
The Hospice of the Florida Suncoast
Clearwater, FL 33760 - Phone
- (727) 586-4432
- Fax
- (727) 523-3257
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 9185967 | FL | Primary |
Addresses
Primary practice location
5771 Roosevelt Blvd
The Hospice of the Florida Suncoast
Clearwater, FL 33760
Mailing address
5771 Roosevelt Blvd
The Hospice of the Florida Suncoast
Clearwater, FL 33760
Phone (727) 586-4432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9185967 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A T Platinum Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386651990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5771 ROOSEVELT BLVD",
"address_2": "THE HOSPICE OF THE FLORIDA SUNCOAST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33760",
"telephone_number": "727-586-4432",
"fax_number": "727-523-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5771 ROOSEVELT BLVD",
"address_2": "THE HOSPICE OF THE FLORIDA SUNCOAST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33760",
"telephone_number": "727-586-4432",
"fax_number": "727-523-3257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "NIKKI",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "9185967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.