Individual provider Active NPI

Lori Kirk, NP-C

  • Family Nurse Practitioner
  • Battle Creek, MI
National Provider Identifier
1578838009
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704254430 Issued in MI
Practice address
5161 B Dr S
Battle Creek, MI 49015-9345
Phone
(269) 969-6099
Fax
(269) 969-6089
NPI assigned
Mar 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704254430 MI Primary

Addresses

Primary practice location

5161 B Dr S
Battle Creek, MI 49015-9345

Mailing address

5161 B Dr S
Battle Creek, MI 49015-9345
Phone (269) 969-6099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151117000985 CA Practitioner - Nurse Practitioner 9133376510 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baz Allergy, Asthma & Sinus Center, Inc. Current Accepting new patients
Baz Allergy, Asthma & Sinus Center, Inc. CurrentSince Jan 7, 2018 Accepting new patients
Baz Allergy, Asthma & Sinus Center CurrentSince Jan 7, 2018 Accepting new patients

Locations

7471 N Fresno St
Fresno, CA 93720
Phone (559) 436-4500

1560 W Lacey Blvd
Ste 103
Hanford, CA 93230
Phone (559) 582-8500

1415 Badger Flat Rd
Ste A
Los Banos, CA 93635
Phone (209) 710-8684

1923 Coffee Rd
Ste 12C
Modesto, CA 95355
Phone (209) 409-8454

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1578838009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 B DR S",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159345",
            "telephone_number": "269-969-6099",
            "fax_number": "269-969-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 B DR S",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159345",
            "telephone_number": "269-969-6099",
            "fax_number": "269-969-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "LORI",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704254430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.