Andre Felix Kirk Jr., YOGA INSTRUCTOR TRAI

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1951 W 97TH PL
Crown Point, IN 46307-2351

Phone

(219) 256-1677

Fax

(219) 663-0279

NPI assigned

Nov 27, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1637971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637971200000",
    "number": "1730846668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 W 97TH PL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072351",
            "telephone_number": "219-256-1677",
            "fax_number": "219-663-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 W 97TH PL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072351",
            "telephone_number": "219-256-1677",
            "fax_number": "219-663-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "ANDRE",
        "middle_name": "FELIX",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "YOGA INSTRUCTOR TRAI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-27",
        "last_updated": "2021-11-27",
        "certification_date": "2021-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward F. King
• John Thomas King, M.D.
• Justine King, M.S. CCC
• Kaysea King
• Timothy Earl King, MD
• James Harland Kirk, MSW, LCSW
• Jennifer A. Kirk, APN
• Christina Kirkwood, FNP-BC
• Tana Joy Kish, FNP-C
• Julie Kissee, LCSW

• Home Health Aide in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Home Health Aide in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2021; 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.