ELIZABETH KIDDE CPNP NPI 1487924643

NPI Information

NPI: 1487924643
Provider Name: ELIZABETH KIDDE, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
4650 W SUNSET BLVD # 54
LOS ANGELES, CA
ZIP 90027
Phone: (323) 361-5027
Get Directions

Elizabeth Kidde, CPNP is a pediatrics nurse practitioner in Los Angeles, CA. Elizabeth Kidde, CPNP NPI is 1487924643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4650 W SUNSET BLVD # 54
LOS ANGELES, CA
ZIP 90027-062
Phone: (323) 361-5027

The NPI 1487924643 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/5/2012 and was last updated on 12/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	RN264689	MASSACHUSETTS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	95000938	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95037727	OTHER	CALIFORNIA	RN
2	95000938	OTHER	CALIFORNIA	NP LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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