Organization Active NPI

Kirkpatrick Healthcare LLC

  • Family Nurse Practitioner
  • Lake Geneva, WI
National Provider Identifier
1689499337
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
KIRKPATRICK HEALTHCARE LLC
Practice address
611 Harmony Dr
Lake Geneva, WI 53147-8800
Phone
(262) 249-1960
Fax
(262) 249-1962
NPI assigned
Nov 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Jennifer May KirkpatrickNPI 1093556425
Title
Nurse Practitioner
Phone
(262) 903-6633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

611 Harmony Dr
Lake Geneva, WI 53147-8800

Mailing address

W8773 S and D Town Line Rd
Darien, WI 53114-1324
Phone (262) 903-6633

Other practice location 1

W8773 S and D Town Line Rd
Darien, WI 53114-1324
Phone (262) 903-6633

National Provider Directory

National Provider Directory

Locations

611 Harmony Dr
Lake Geneva, WI 53147
Phone (262) 249-1960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1689499337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8773 S AND D TOWN LINE RD",
            "city": "DARIEN",
            "state": "WI",
            "postal_code": "531141324",
            "telephone_number": "262-903-6633",
            "fax_number": "262-429-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 HARMONY DR",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531478800",
            "telephone_number": "262-249-1960",
            "fax_number": "262-249-1962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W8773 S and D Town Line Rd",
            "address_purpose": "LOCATION",
            "city": "Darien",
            "state": "WI",
            "postal_code": "531141324",
            "country_code": "US",
            "telephone_number": "262-903-6633",
            "fax_number": "262-429-8547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIRKPATRICK HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "KIRKPATRICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "262-903-6633"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Geneva, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.