Individual provider Active NPI

John Harris Kirkley, J.D.

  • Health Educator
  • Bridgeport, CT
National Provider Identifier
1700362142
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
250 Myrtle Ave Ofc 204
Bridgeport, CT 06604-7762
Phone
(203) 258-2265
NPI assigned
Jul 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

250 Myrtle Ave Ofc 204
Bridgeport, CT 06604-7762

Mailing address

250 Myrtle Ave Ofc 204
Bridgeport, CT 06604-7762
Phone (203) 258-2265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Juris Doctor

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1700362142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MYRTLE AVE OFC 204",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066047762",
            "telephone_number": "203-258-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MYRTLE AVE OFC 204",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066047762",
            "telephone_number": "203-258-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLEY",
        "first_name": "JOHN",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "J.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.