CANDACE KIRK (NPI# 1972959757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972959757 |
| Entity Type | Individual |
| Full Name | CANDACE KIRK |
| Practice Address |
4680 Waverly Farms Rd Millington TN 38053-8146 |
| Mailing Address |
Po Box 1702 Millington TN 38083-1702 |
| Practice Telephone | 9016163126 |
| Mailing Telephone | 9016163126 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172A00000X | Driver | 115003584 | TN | Other Service Providers |
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 115003584 | TN | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q020829 | 05 |
| Street Address |
4680 WAVERLY FARMS RD |
| City | MILLINGTON |
| State | TN |
| Zip Code | 38053-8146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676325 | Marde M Walker | Nurse Practitioner | 8225 Highway 51 North, Millington, TN 38053 | 2019-08-30 |
| 1801457676 | Cale Porter Alexander | Physical Therapist | 8586 Highway 51 North, Millington, TN 38053 | 2019-06-24 |
| 1477957660 | Community Chiropractic | Chiropractor | 8110 Hwy 51 North, Suite 2, Millington, TN 38053 | 2014-10-16 |
| 1861739344 | Lydia A Sharpe | Pharmacist | 8039 Highway 51 North, Millington, TN 38053 | 2013-01-03 |
| 1063666261 | Phylliss Lamora Flowers | Nurse Practitioner | 7889 Astoria Rd, Millington, TN 38053 | 2008-11-14 |
| 1649447871 | William David Algea | Pediatrics | 8081 Highway 51 North, Millington, TN 38053 | 2008-05-15 |
| 1306051248 | Leader Physical Therapy Limited Partnership | Durable Medical Equipment & Medical Supplies | 8253 Highway 51 North, Suite 102, Millington, TN 38053 | 2007-05-14 |
| 1750406658 | Tammy E. Keough | Nurse Practitioner | 7889 Astoria, Millington, TN 38053 | 2007-03-20 |
| 1760516017 | West Tennessee Eye, Plc | Optometrist | 8120 Hwy 51n, Ste 7, Millington, TN 38053 | 2007-03-16 |
| 1932258787 | Mid South Wellness Center, Inc | Family Medicine | 7662 Highway 51north, Suite 2, Millington, TN 38053 | 2007-01-10 |
| Find all providers in zip 38053 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952932667 | T & B Transportation LLC | Non-emergency Medical Transport (VAN) | 3631 Epperson Wood Dr, Millington, TN 38053-6217 | 2020-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021010 | Trinika Michelle Meredith | Non-emergency Medical Transport (VAN) | 4225 Ambrose Rd, Memphis, TN 38116-6772 | 2020-10-21 |
| 1215536172 | Community Rescue Medical Trans, LLC | Non-emergency Medical Transport (VAN) | 3340 Poplar Ave Ste 133, Memphis, TN 38111-4638 | 2020-10-21 |
| 1023625837 | Gg Transportation LLC | Non-emergency Medical Transport (VAN) | 4443 Shawhan Rd, Chattanooga, TN 37411-1716 | 2020-09-25 |
| 1528674983 | George Beshay | Non-emergency Medical Transport (VAN) | 4814 Old Hickory Blvd, Hermitage, TN 37076-2502 | 2020-09-21 |
| 1598371569 | Alisha N Hudson | Non-emergency Medical Transport (VAN) | 517 Brown Rd, Chattanooga, TN 37421-3916 | 2020-09-16 |
| 1427662790 | Reliable Transports LLC | Non-emergency Medical Transport (VAN) | 3078 S Glengarry Rd, Memphis, TN 38128-5138 | 2020-09-03 |
| 1770197949 | Ali H Nazir | Non-emergency Medical Transport (VAN) | 710 Huntington Pkwy, Nashville, TN 37211-5919 | 2020-09-03 |
| 1972117604 | Lacey Runit, Inc | Non-emergency Medical Transport (VAN) | 3759 Lakeview Rd, Memphis, TN 38116-3919 | 2020-09-01 |
| 1932713617 | Dung Nguyen | Non-emergency Medical Transport (VAN) | 601 S Mendenhall Rd, Memphis, TN 38117-4252 | 2020-09-01 |
| 1669084232 | Black Diamond Transportation, LLC | Non-emergency Medical Transport (VAN) | 1207 Silvery Glade, Smyrna, TN 37167-2687 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | MILLINGTON |
| Zip Code | 38053 |
Please comment or provide details below to improve the information on CANDACE 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.