LESLIE KIDD (NPI# 1568095222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568095222 |
Entity Type | Individual |
Full Name | LESLIE KIDD |
Practice Address |
8904 Cedar Lake Dr Jenison MI 49428-9462 |
Mailing Address |
3097 Prairie St Sw Grandville MI 49418-2000 |
Practice Telephone | 6164437934 |
Enumeration Date | 2020-02-20 |
Last Update Date | 2020-02-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
4704260532 | MI | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093085185 | Leslie Marie Kidd | Social Worker | 520 Cooper St, Unit 4a, Asheboro, NC 27203-6296 | 2012-01-05 |
1629129929 | Leslie Mize Kidd | Occupational Therapist | 8812 Kapheim Ct, Charlotte, NC 28273-8832 | 2007-01-15 |
1033127840 | Leslie M Kidd | Internal Medicine | 2810 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6306 | 2006-08-04 |
1760832489 | Leslie Kidd | Dental Hygienist | Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-06-14 |
1518970896 | Leslie S Kidd | Obstetrics & Gynecology | 1705 Amherst St Ste 203, Winchester, VA 22601-3346 | 2006-08-15 |
Street Address |
8904 CEDAR LAKE DR |
City | JENISON |
State | MI |
Zip Code | 49428-9462 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902355076 | Brian Jacob Wolters | Chiropractor | 7579 Main Street, Jenison, MI 49428 | 2016-09-29 |
1730530569 | Michael Walton | Counselor | 7678 Cottonwood Dr Ste C, Jenison, MI 49428 | 2016-06-22 |
1972950301 | Kyler Ross Debruyn | Student in an Organized Health Care Education/Training Program | 1932 Cedarbrook Drive, Jenison, MI 49428 | 2016-05-16 |
1932529799 | Patrick Christopher Schafer | Family Medicine | 345 Baldwin St, Jenison, MI 49428 | 2014-04-21 |
1548469216 | Sarah Anne Sainem Gordon | Counselor | 7506 Church Street, Jenison, MI 49428 | 2007-07-13 |
1265578900 | Stephen Mitchael Dadd | Dentist | 657 Baldwin St, Jenison, MI 49428 | 2007-01-29 |
1831277136 | Tyler Andrew Wolf | Dentist | 7678 Cottonwood Dr, Jenison, MI 49428 | 2006-11-02 |
1497840342 | Bruce A Seitz Dds PC | Dentist | 701 Baldwin, Jenison, MI 49428 | 2006-10-04 |
1134221260 | Aaron N Kik | Chiropractor | 7646 20th Ave, Jenison, MI 49428 | 2006-09-01 |
1700899135 | Mark Laman Powell | Dentist | 2076 Baldwin Dr, Jenison, MI 49428 | 2006-08-15 |
Find all providers in zip 49428 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821605619 | Felicia Simmons | Registered Nurse | 16861 Lesure St, Detroit, MI 48235-4012 | 2020-09-25 |
1730796764 | Rebekah J Trivilino | Registered Nurse | 619 W Houstonia Ave, Royal Oak, MI 48073-4083 | 2020-09-24 |
1508473653 | Latoia Pharr | Registered Nurse | 22162 Gascony Ave # L, Eastpointe, MI 48021-2574 | 2020-09-23 |
1093332843 | Laurence Stephen Reuben | Registered Nurse | 26070 Radclift Pl, Oak Park, MI 48237-1047 | 2020-06-28 |
1770105389 | Shanita Blevins | Registered Nurse | 19962 Ferguson St, Detroit, MI 48235-2431 | 2020-05-18 |
1558980862 | Kyesha Noble | Registered Nurse | 545 Abbey St Apt G, Muskegon, MI 49442-2155 | 2020-04-16 |
1164054086 | Brenda S Vanaanhold | Registered Nurse | 643 Lynn Kay Dr Sw, Byron Center, MI 49315-8995 | 2020-02-08 |
1891334074 | Lachelle Sophia Carroll | Registered Nurse | 14046 Stahelin Ave, Detroit, MI 48223-2985 | 2020-01-05 |
1134777592 | Alicia Marie Gregg | Registered Nurse | 6024 Walton Rd, Kingsley, MI 49649-9275 | 2019-08-29 |
1144874397 | Stephanie Ann Tomasi | Registered Nurse | 35160 6 Mile Rd, Livonia, MI 48152-2977 | 2019-07-26 |
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.