CAROL KIDD (NPI# 1033653456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033653456 |
| Entity Type | Individual |
| Full Name | CAROL KIDD |
| Credential | IBCLC |
| Practice Address |
3424 W Tanya Trl Phoenix AZ 85086-4328 |
| Practice Telephone | 6028881969 |
| Mailing Telephone | 6028881969 |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-94970 | AZ | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174035687 | Carol Ann Kidd | Counselor | 1074 Wasserman Way, Batavia, OH 45103-1911 | 2017-10-25 |
| Street Address |
3424 W TANYA TRL |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85086-4328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
| 1912559857 | Cathey Michelle Allen | Massage Therapist | 39006 N 11th Ave, Phoenix, AZ 85086 | 2019-07-11 |
| 1174000871 | Anthem Eye Group Pllc | Optometrist | 4205 W Anthem Way #101, Anthem, AZ 85086 | 2018-07-25 |
| 1366982449 | Angela Ann Childs | Registered Nurse | 42104 N Venture Dr Ste D118, Anthem, AZ 85086 | 2017-03-08 |
| 1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
| 1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
| 1124499280 | Shane Carr | Physical Therapist | 39716 N 7th St, Phoenix, AZ 85086 | 2015-10-15 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
| Find all providers in zip 85086 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508319054 | Holistic Lactation LLC | Lactation Consultant, Non-RN | 4717 N 33rd Pl, Phoenix, AZ 85018-3316 | 2016-08-02 |
| 1073972915 | Marylou Sandoval | Lactation Consultant, Non-RN | 3536 W San Juan Ave, Phoenix, AZ 85019-4514 | 2016-02-21 |
| 1093144347 | Kerri Christie | Lactation Consultant, Non-RN | 17806 N 34th Way, Phoenix, AZ 85032-1213 | 2013-11-07 |
| 1407285877 | Marissa Honey-jones | Lactation Consultant, Non-RN | 2543 W Old Paint Trl, Phoenix, AZ 85086-5600 | 2013-11-06 |
| 1639423858 | Estrella Zermeno | Lactation Consultant, Non-RN | 3620 N 6th Ave, Apt 109w, Phoenix, AZ 85013-3765 | 2012-11-09 |
| 1366952657 | Ann Bennett | Lactation Consultant, Non-RN | 2113 Highland Ridge Dr, Phoenix, MD 21131-1217 | 2017-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894379 | Rhegan Riane Derfus | Lactation Consultant, Non-RN | 3865 Barraco Dr, Sierra Vista, AZ 85650-4211 | 2020-05-28 |
| 1366072266 | Mirishka Elizabeth Gill | Lactation Consultant, Non-RN | 139 N 85th Pl, Mesa, AZ 85207-8669 | 2020-01-19 |
| 1063073963 | Heather Marie Evans | Lactation Consultant, Non-RN | 9233 E Neville Ave Unit 1112, Mesa, AZ 85209-1511 | 2019-06-22 |
| 1639642861 | Emily Barnes | Lactation Consultant, Non-RN | 285 N Kenneth Pl, Chandler, AZ 85226-2944 | 2019-01-10 |
| 1699269878 | Sarah Grace Clay | Lactation Consultant, Non-RN | 8400 S Kyrene Rd Ste 125, Tempe, AZ 85284-2172 | 2018-06-20 |
| 1437670635 | Kimberly Dawn Moore-salas | Lactation Consultant, Non-RN | 8400 S Kyrene Rd Ste 126, Tempe, AZ 85284-2172 | 2017-06-28 |
| 1043764582 | Anna Elizabeth Neuman Singleton | Lactation Consultant, Non-RN | 3445 N King St, Flagstaff, AZ 86004-2027 | 2016-08-13 |
| 1013374230 | Cynthia Lafferty | Lactation Consultant, Non-RN | 21120 E Stirrup St, Queen Creek, AZ 85142-6524 | 2016-01-19 |
| 1396101077 | Trine Bradshaw | Lactation Consultant, Non-RN | 9709 E Impala Ave, Mesa, AZ 85209-7044 | 2016-01-11 |
| 1295191559 | Asa Lader | Lactation Consultant, Non-RN | 3524 E Calle Del Prado, Tucson, AZ 85716-5021 | 2016-01-01 |
| Find all providers with the same taxonomy | ||||
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| 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.