NANCY L KIRK (NPI# 1215997861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215997861 |
| Entity Type | Individual |
| Full Name | NANCY L KIRK |
| Other Name | NANCY LEE RANDELS |
| Credential | PA-C |
| Practice Address |
8444 W 21st St N Wichita KS 67205-1752 |
| Mailing Address |
Po Box 764 Wichita KS 67201-0764 |
| Practice Telephone | 3167219500 |
| Practice Fax Number | 3167219574 |
| Mailing Telephone | 3162688123 |
| Mailing Fax Number | 3162917716 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2010-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 15-01070 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200354270A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033280839 | Nancy E Kirk | Counselor | 156 Chestnut St, Florence, MA 01062-1407 | 2006-11-13 |
| 1316427768 | Nancy Elisabeth Kirk | Social Worker | 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 | 2018-08-15 |
| 1821467853 | Nancy Kirk | Speech-Language Pathologist | 7800 S 25th St, Bellevue, NE 68147-2125 | 2015-09-21 |
| 1316357817 | Nancy E Kirk | Clinical Nurse Specialist | 15100 Birchaven Ln, Findlay, OH 45840-9773 | 2014-05-06 |
| 1780964296 | Nancy Lauren Kirk | Occupational Therapist | 1052 Maple Dr, Morgantown, WV 26505-2815 | 2011-08-29 |
| 1902878648 | Nancy Moser Kirk | Ophthalmology | 13000 Bruce B Downs Blvd, James A. Haley Va Hospital, Tampa, FL 33612-4745 | 2006-02-06 |
| Street Address |
8444 W 21ST ST N |
| City | WICHITA |
| State | KS |
| Zip Code | 67205-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639548738 | Alicia M. Reeves | Registered Nurse | 8444 W 21st St N, Wichita, KS 67205-1752 | 2015-09-18 |
| 1790128098 | Linah Kwamboka Mairura | Family Medicine | 8444 W 21st St N, Wichita, KS 67205-1752 | 2013-04-17 |
| 1164769568 | Amanda A Gabel | Nurse Practitioner | 8444 W 21st St N, Wichita, KS 67205-1752 | 2013-01-07 |
| 1134430853 | Nichole M Riddel | Internal Medicine | 8444 W 21st St N, Wichita, KS 67205-1752 | 2010-06-28 |
| 1346426285 | Melissa S Methvin | Physician Assistant | 8444 W 21st St N, Wichita, KS 67205-1752 | 2008-01-10 |
| 1306027446 | Preferred Medical Associates | Pediatrics | 8444 W 21st St N, Wichita, KS 67205-1752 | 2007-11-16 |
| 1720046667 | Steve K Couch | Family Medicine | 8444 W 21st St N, Wichita, KS 67205-1752 | 2006-05-02 |
| 1790743656 | Edward K Cusick | Family Medicine | 8444 W 21st St N, Wichita, KS 67205-1752 | 2006-05-02 |
| 1063470938 | Andrea B Mccarty | Family Medicine | 8444 W 21st St N, Wichita, KS 67205-1752 | 2006-05-02 |
| 1578520029 | Debbie R Gruenbacher | Family Medicine | 8444 W 21st St N, Wichita, KS 67205-1752 | 2006-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
| 1962940288 | Moc Wichita LLC | Assisted Living Facility | 7057 W Village Circle, Wichita, KS 67205 | 2017-02-07 |
| 1003362732 | Moc Wichita, LLC | Assisted Living Facility | 7057 West Village Circle, Wichita, KS 67205 | 2016-09-01 |
| 1649637653 | Abigail Friend | Audiologist-Hearing Aid Fitter | 2558 Lake Way Circle, Wichita, KS 67205 | 2016-01-21 |
| 1134505399 | Myles Davidson | Dentist | 3510 N Ridge Rd Ste 500, Wichita, KS 67205 | 2015-08-10 |
| 1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
| 1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
| 1447693627 | Caryn Rana Landreth | Social Worker | 3114 N Brush Creek St, Wichita, KS 67205 | 2013-04-08 |
| 1902182686 | Return To Motion Medical | Durable Medical Equipment & Medical Supplies | 3221 N Ridge Port Circle, Wichita, KS 67205 | 2011-10-26 |
| Find all providers in zip 67205 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116582 | Alia Porter | Physician Assistant | 115 N Terrace Dr, Wichita, KS 67208-3941 | 2020-05-28 |
| 1881217594 | Taylor Nicole Wondra | Physician Assistant | 1845 N Woodrow Ct, Wichita, KS 67203-2959 | 2020-05-28 |
| 1497378087 | Haley Nicole Northcutt | Physician Assistant | 10107 W Jamesburg St, Wichita, KS 67212-6743 | 2020-05-18 |
| 1649892357 | Mong Trinh Thi Hoang | Physician Assistant | 1933 N Wellington Pl, Wichita, KS 67203-2558 | 2020-05-15 |
| 1609434000 | Branden Tang | Physician Assistant | 10112 E Clark St, Wichita, KS 67207-7747 | 2019-05-31 |
| 1184093379 | Evan C Ohlman | Physician Assistant | 3009 N Cypress, Wichita, KS 67226-4003 | 2015-09-18 |
| 1629388079 | Sara A Hildreth | Physician Assistant | 9415 E Harry St Ste 202, Wichita, KS 67207-5076 | 2010-10-19 |
| 1477700235 | Heather S Bloomer | Physician Assistant | 2465 N Woodridge Ct, Wichita, KS 67226-8208 | 2008-08-25 |
| 1205030145 | William Paul Wondra | Physician Assistant | 141 W Elm St, Sedgwick County Detention Facility, Wichita, KS 67203-3848 | 2007-06-13 |
| 1194888602 | Vicki L Gromala | Physician Assistant | 1861 N. Road Road, Suite 105, Wichita, KS 67206-1264 | 2006-12-18 |
| Find all providers in WICHITA | ||||
Please comment or provide details below to improve the information on NANCY L KIRK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.