NPIMap

Organization Active NPI

Jerrica Kirkley M.D., P.C.

Doing business as Plume Health

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1417688086
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JERRICA KIRKLEY M.D., P.C.
Practice address
633 West Fifth St.
28TH Floor Office 2848
Los Angeles, CA 90071
Phone
(720) 248-4483
NPI assigned
Jun 23, 2022
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Claire Wilensky
Title
Director of Accounting
Phone
(305) 632-3463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

633 West Fifth St.
28TH Floor Office 2848
Los Angeles, CA 90071

Mailing address

303 S. Broadway
#200-357
Denver, CO 80209
Phone (720) 248-4483

Other names 1

  • Plume Health Former legal business name

National Provider Directory

National Provider Directory

Locations

633 W 5th St
Ofc 2848
Los Angeles, CA 90071

303 S Broadway
#200357
Denver, CO 80209
Phone (720) 897-3749

303 S Broadway
Ste 200
Denver, CO 80209
Phone (425) 503-3701

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1417688086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S. BROADWAY",
            "address_2": "#200-357",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80209",
            "telephone_number": "720-248-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 WEST FIFTH ST.",
            "address_2": "28TH FLOOR OFFICE 2848",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90071",
            "telephone_number": "720-248-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRICA KIRKLEY M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2024-02-22",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "WILENSKY",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "305-632-3463"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plume Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plume Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.