Individual provider Active NPI

Richard Norman Kirk, N.P.

  • Nurse Practitioner
  • Napa, CA
National Provider Identifier
1952492183
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10731 Issued in CA
Practice address
1621 W Imola Ave
Napa, CA 94559-4721
Phone
(707) 251-4280
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10731 CA Primary

Addresses

Primary practice location

1621 W Imola Ave
Napa, CA 94559-4721

Mailing address

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-3611

Other practice location 1

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-6491

Other identifiers 1

IdentifierTypeStateIssuer
1952492183MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urgentcareqvmc@sjhhandhmg.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040825000403 CA Practitioner - Nurse Practitioner 7719951722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1100 Trancas St
Napa, CA 94558-2909

1621 W Imola Ave
Napa, CA 94559-4721
Phone (707) 251-4280

200 W Ctr St Promenade
Anaheim, CA 92805-3960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10731CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Helena Hospital CurrentSince Feb 1, 2016 Accepting new patients
St. Helena Hospital CurrentSince Feb 1, 2016 Accepting new patients
Providence Medical Foundation CurrentSince Jul 10, 2017 Accepting new patients
San Francisco Emergency Medical Associates CurrentSince Jul 1, 2014 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Jul 10, 2017 Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

913 Washington St
Calistoga, CA 94515
Phone (707) 942-0844

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

1621 W Imola Ave
Napa, CA 94559
Phone (707) 251-4280

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 106
Santa Rosa, CA 95405

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1952492183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODLAND RD",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749554",
            "telephone_number": "707-963-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 W IMOLA AVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945594721",
            "telephone_number": "707-251-4280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Woodland Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Helena",
            "state": "CA",
            "postal_code": "945749554",
            "country_code": "US",
            "telephone_number": "707-963-6491",
            "fax_number": "707-967-5676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRK",
        "first_name": "RICHARD",
        "middle_name": "NORMAN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "10731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952492183",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urgentcareqvmc@sjhhandhmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1621 W Imola Ave",
            "city": "Napa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945594721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.