Marilou T Quirk, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

71001754A Issued in IN

Practice address

6000 W County Road 400 N
Muncie, IN 47304-9057

Phone

(765) 289-9709

Fax

(765) 964-4300

NPI assigned

Nov 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Union Healthcare Services Inc

  • Home Health Agency
  • Indianapolis, IN
  • NPI 1013549468
  NPD
• Open Door Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartford City, IN
  • NPI 1245094028
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770565608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452",
            "city": "UNION CITY",
            "state": "IN",
            "postal_code": "473900452",
            "telephone_number": "765-964-4200",
            "fax_number": "765-964-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W COUNTY ROAD 400 N",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473049057",
            "telephone_number": "765-289-9709",
            "fax_number": "765-964-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIRK",
        "first_name": "MARILOU",
        "middle_name": "T",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71001754A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000351540",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200494420A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quad/Med, LLC
• Kacey N Quaderer, OT
• Qualcomp Preferred Medical Consultants.PC
• Karson Quarles
• Jason Ryan Quate, PTA
• Manal Farrukh Qureshi, MD
• Vikas Raghove, MD
• Rainmaker Production Services, LLC
• Cassandra Anne Rall, MA
• Amanda Jennifer Ramirez, NP

• Adult Health Nurse Practitioner in Muncie, IN
• Providers in Muncie, IN by specialty
• Adult Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.