Active NPI
Kirkpatrick Healthcare LLC
- Family Nurse Practitioner
- Lake Geneva, WI
National Provider Identifier
1689499337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer May Kirkpatrick
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Lake Geneva, WI
- NPI 1093556425
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.