Stephanie Marie Kirk, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

36824 Issued in OK

Practice address

3445 S Sheridan Rd
Tulsa, OK 74145-1105

Phone

(918) 610-3366

Fax

(918) 610-3344

NPI assigned

Nov 10, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Oklahoma Treatment Services LLC

  • Community/Behavioral Health Agency
  • Tulsa, OK
  • NPI 1306277082
  NPD (past)

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1780286187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 GARY ST",
            "city": "SALINA",
            "state": "OK",
            "postal_code": "743653231",
            "telephone_number": "918-373-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451105",
            "telephone_number": "918-610-3366",
            "fax_number": "918-610-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "36824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary C Kirk, MD
• Mikala Ruth Kirk
• Nikki Kirk
• Philip Michael Kirk
• Phillip James Kirk
• Monica Ann Kirkendoll, ARNP
• Amy Kirkland, BA
• Jonathon Dale Kirkland, DO
• Keeley Ann Kirkland, D
• Tiffany Kirkland

• Licensed Practical Nurse in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.