Jodelle Lynn Kirk, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-159024 Issued in MT

Practice address

5W Mendenhall Street
Suite 511
Bozeman, MT 59715

Phone

(417) 439-3374

NPI assigned

May 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Jodi Lynn Kirk Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1821671033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5W MENDENHALL STREET",
            "address_2": "SUITE 511",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "417-439-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5W MENDENHALL STREET",
            "address_2": "SUITE 511",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "417-439-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "JODELLE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MT",
            "license": "APRN-159024",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MT",
            "license": "APRN-159024",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "APRN-159024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "KIRK",
            "middle_name": "LYNN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Todd Aaron Kinney, DDS
• Kelsey Lee Kinzer, P.T.A.
• Nancy Colson Kinzler, PHARMD
• Amy Kirbow, CPM
• Clara Kirchhof, MT
• Meghan A Kirk, FNP
• Kris Arnold Kirkland, DDS
• Macie Kirkpatrick, M.S. CCC-SLP
• Matthew Kirkpatrick, M.D.
• Sarah Q Kirkpatrick, OD

• All providers in Bozeman, MT
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.