MRS. KATHLEEN M KIDDER (NPI# 1588643019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588643019 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN M KIDDER |
| Credential | ARNP |
| Practice Address |
276 Newport Rd The Gallery, Suite 107 New London NH 03257-5468 |
| Practice Telephone | 6035264144 |
| Practice Fax Number | 6035264167 |
| Mailing Telephone | 6035264144 |
| Mailing Fax Number | 6035264167 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | CIGNA | 3992393 | 01 |
| NH | 30009297 | 05 | |
| NH | HARVARD PILGRIM | S78734 | 01 |
| Street Address |
276 NEWPORT RD THE GALLERY, SUITE 107 |
| City | NEW LONDON |
| State | NH |
| Zip Code | 03257-5468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538514443 | The Nutrition Counseling Center | Dietitian, Registered | 276 Newport Rd, The Gallery Suite 202, New London, NH 03257-5468 | 2016-04-28 |
| 1104246727 | Elizabeth Ann Falicon | Nurse Practitioner | 276 Newport Rd, Suite 107, New London, NH 03257-5468 | 2014-04-22 |
| 1689943995 | Life Long Care | Clinic/Center | 276 Newport Rd, The Gallery, Suite 107, New London, NH 03257-5468 | 2011-12-16 |
| 1922332832 | Hope Elizabeth Damon R.d.,c.d.e., L.d. | Dietitian, Registered | 276 Newport Rd, The Gallery Suite 202, New London, NH 03257-5468 | 2009-09-24 |
| 1508011347 | Ann M. Pitts, Licsw, LLC | Social Worker | 276 Newport Rd, Suite 215, New London, NH 03257-5468 | 2008-11-20 |
| 1023135878 | Sean Lyon | Nurse Practitioner | 276 Newport Rd, Ste 107, New London, NH 03257-5468 | 2007-03-26 |
| 1134246358 | Hope Elizabeth Damon | Dietitian, Registered | 276 Newport Rd, The Gallery Suite 202, New London, NH 03257-5468 | 2007-03-23 |
| 1750436689 | Monique Rossignol | Nurse Practitioner | 276 Newport Rd, Suite 107, New London, NH 03257-5468 | 2007-01-23 |
| 1346281003 | Louis A Kowalski | Internal Medicine | 276 Newport Rd, Suite 108, New London, NH 03257-5468 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357218 | Glenn L Perreault | Pharmacist | 82 Newport Rd, New London, NH 03257 | 2020-05-13 |
| 1740733047 | Patricia Martick-campbell | Counselor | 32 Goosehole Lane, New London, NH 03257 | 2016-08-03 |
| 1033535836 | Concord Pediatric Dentistry of New London, Pllc | Point of Service | 299 Main St., New London, NH 03257 | 2014-03-17 |
| 1285926071 | Nicholas Chester Reynolds Jr. | Surgery | 153 Seamans Road, New London, NH 03257 | 2011-05-11 |
| 1366693426 | Marlene G Meinelt | Social Worker | 35 Newport Road, New London, NH 03257 | 2008-10-08 |
| 1053562140 | Olivia Powers Weathers | Chiropractor | 71 Pleasant Street, New London, NH 03257 | 2008-10-07 |
| 1851569768 | Gregory P. Gutgsell Dds & Darren M Phipps Dds, Prof Assn | Dentist | 125 Newport Road, New London, NH 03257 | 2008-02-13 |
| 1093992000 | Christine Ann Dube | Family Medicine | 273 Country Road, New London, NH 03257 | 2008-01-22 |
| 1477743615 | Elizabeth Ann Johnston | Social Worker | The Gallery, 276 Newport Rd., Suite 202, New London, NH 03257 | 2007-07-25 |
| 1922215946 | Anthony Joseph Yuskaitis | Family Medicine | 868 Morgan Hill Rd., New London, NH 03257 | 2007-05-17 |
| Find all providers in zip 03257 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1346694353 | Peter Woods | Nurse Practitioner | 270 Montauk Ave, New London, CT 06320-4712 | 2016-04-15 |
| 1326351032 | Kimberly A Kurey | Nurse Practitioner | 400 Bayonet St Ste 206, New London, CT 06320-2633 | 2010-07-22 |
| 1366634776 | Life Long Care of New London Pllc | Nurse Practitioner | 276 Newport Rd Ste 107, New London, NH 03257-5468 | 2007-08-10 |
| 1992748784 | Betsy Gaffney | Nurse Practitioner | 255 Hempstead St, New London, CT 06320-6204 | 2006-06-13 |
| 1295706554 | Shirley A Mendes | Nurse Practitioner | 270 Mohegan Avenue, Warnshuis Building, New London, CT 06320-4125 | 2006-01-26 |
| 1588651244 | Rhonda S Niemi Judge | Nurse Practitioner | 1370 N Shawano St, Ste A, New London, WI 54961-7944 | 2005-09-28 |
| 1124581681 | Fnp Medical Services LLC | Nurse Practitioner | 400 Bayonet St Ste 206, New London, CT 06320-2633 | 2019-04-11 |
| 1457835357 | Natasha Singer | Nurse Practitioner | 37 Beech Dr, New London, CT 06320-3003 | 2018-09-18 |
| 1376047522 | Terry Waddell | Nurse Practitioner | 412 E Main St, New London, IA 52645-1220 | 2018-03-22 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 03257 |
Please comment or provide details below to improve the information on MRS. KATHLEEN M KIDDER.
| 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.