Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tiffany Renee Kirk

Individual provider Family Nurse Practitioner · NPI 1619491024

Tiffany Renee Kirk is a Nurse Practitioner in Marshfield, Missouri. Qualified in 2017, 9 years ago. Practices with Sgoh Acquisition Inc, a 93-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2017
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Practice location Address checks out

543 W Hubble Dr
Marshfield, MO 65706-1532
Phone: (417) 859-4878
Fax: (417) 859-0889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2715 E Battlefield St, Springfield, MO 65804-3981 — (417) 888-0298

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2017024997 (MO)

Record details

NPI number1619491024
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 27, 2017
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sgoh Acquisition Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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