Kim Rochelle Kirk, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

088006343RN Issued in OR

Practice address

1199 B Ave
Terrebonne, OR 97760-9440

Phone

(541) 923-4856

Fax

(541) 923-4825

NPI assigned

Feb 27, 2024

Last updated

Mar 8, 2024By the provider in NPPES

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

Credentials

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Redmond School District

  • Local Education Agency (LEA)
  • Redmond, OR
  • NPI 1437973336
  NPD

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1518723436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SE SALMON DR",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977568427",
            "telephone_number": "541-923-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 B AVE",
            "city": "TERREBONNE",
            "state": "OR",
            "postal_code": "977609440",
            "telephone_number": "541-923-4856",
            "fax_number": "541-923-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "KIM",
        "middle_name": "ROCHELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "088006343RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheilah Ariadne Fairless Bafus
• Free Spirit Counseling LLC
• Coleman Gayheart Jr., PHARMACIST
• Jennifer Purswell LPC, LLC
• Jeanna Marie Jones, MSW, CSWA
• Lutheran Community Services NW
• Cynthia McDaniel, RN MSN
• One Step at a Time LLC
• Robert Periman
• Danielle Patricia Quirk, BS

• Registered Nurse in Terrebonne, OR
• Providers in Terrebonne, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.