NPIMap

Individual provider Active NPI

Tiffany Renee Kirk

  • Family Nurse Practitioner
  • Marshfield, MO
National Provider Identifier
1619491024
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017024997 Issued in MO
Practice address
543 W Hubble Dr
Marshfield, MO 65706-1532
Phone
(417) 859-4878
Fax
(417) 859-0889
NPI assigned
Jul 27, 2017
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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 2017024997 MO Primary

Addresses

Primary practice location

543 W Hubble Dr
Marshfield, MO 65706-1532

Mailing address

543 W Hubble Dr
Marshfield, MO 65706-1532
Phone (417) 859-4878

Other practice location 1

2715 E Battlefield St
Springfield, MO 65804-3981
Phone (417) 888-0298

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TKIRK@OCHHOSPITAL.HIN.US

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170803001979 MO Practitioner - Nurse Practitioner 2961773395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sgoh Acquisition IncGroup PAC ID 5092616276, 95 clinicians

Practice addresses (Care Compare)

543 W Hubble Dr
Marshfield, MO 65706-1532
Phone (417) 859-4878

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primrose Nephrology, Inc. Current Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Feb 8, 2019 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

105 S Ridgecrest Ave
Nixa, MO 65714
Phone (417) 724-3100

1540 E Evergreen St
Springfield, MO 65803
Phone (417) 823-2900

2715 E Battlefield Rd
Springfield, MO 65804
Phone (417) 888-0298

Interoperability endpoints

  • Direct secure messaging: tkirk@ochhospital.hin.us

Organizations & group practices 4

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1619491024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 W HUBBLE DR",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657061532",
            "telephone_number": "417-859-4878",
            "fax_number": "417-859-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 W HUBBLE DR",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657061532",
            "telephone_number": "417-859-4878",
            "fax_number": "417-859-0889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2715 E Battlefield St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658043981",
            "country_code": "US",
            "telephone_number": "417-888-0298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRK",
        "first_name": "TIFFANY",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017024997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TKIRK@OCHHOSPITAL.HIN.US",
            "affiliation": "N",
            "address_1": "543 W Hubble Dr",
            "city": "Marshfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "657061532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marshfield, MO

Sources for this page

Verify at the official NPI Registry.