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MARY R KIDD APNP NPI 1114481942


NPI Information

NPI: 1114481942
Provider Name: MARY R KIDD, APNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
610 S LINCOLN RD
ESCANABA, MI
ZIP 49829
Phone: (906) 786-6488
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Mary R Kidd, APNP is a family nurse practitioner in Escanaba, MI with 6 years of experience. Mary R Kidd, APNP NPI is 1114481942. 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:

610 S LINCOLN RD
ESCANABA, MI
ZIP 49829-215
Phone: (906) 786-6488
Fax: (906) 786-6409

The NPI 1114481942 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)

The enumeration date for this NPI number is 1/25/2019 and was last updated on 11/9/2020.


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
1163W00000XRegistered Nurse246069-30WISCONSINNo
2163W00000XRegistered Nurse4704305878MICHIGANNo
3363LF0000XNurse PractitionerFamily9045-33WISCONSINYes
4363LF0000XNurse PractitionerFamily4704305878MICHIGANNo

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
1F09181074OTHERAMERICAN ACADEMY OF NURSE PRACTITIONERS

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.