Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CARLY KIRK FNP-C
NPI 1467361865
Nurse Practitioner in Normal, IL

Active since September 02, 2026
1730 BRADFORD LN, NORMAL, IL 61761(217) 799-4870 Get Directions Write a Review

NPPES record added: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 30, 2026, Sep 2, 2026 (2 updates tracked since 2026).

About Carly Kirk Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY KIRK FNP-C (NPI 1467361865) is an individual nurse practitioner in Normal, Illinois, licensed in Illinois (209036854) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1467361865
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARLY KIRKCredential: FNP-C
Location Address1730 BRADFORD LNNormal, IL 61761-1297
Mailing Address1730 Bradford LnNormal, IL 61761-1297 · (217) 799-4870
Sole ProprietorNo
Enumeration DateSeptember 2, 2026
Last NPPES UpdateOctober 30, 20262 updates tracked since enumeration
NPPES CertifiedOctober 30, 2026
✔ NPI 1467361865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209036854
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041491491 (IL)
1730 BRADFORD LN, Normal, IL 61761

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1730 BRADFORD LN
NORMAL, IL 61761
Non-Pharmacy Dispensing Site
1730 BRADFORD LN
NORMAL, IL 61761

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Kirk's NPI number?

The NPI number for Carly Kirk is 1467361865. It was assigned to this individual provider in the NPPES registry on September 2, 2026.

Where is Carly Kirk located?

Carly Kirk practices at 1730 Bradford Ln, Normal, IL 61761. The listed phone number is (217) 799-4870.

What is Carly Kirk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Carly Kirk was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.