STEPHANIE KIDWELL NPI 1124768155

NPI Information

  • NPI: 1124768155
  • Provider Name: STEPHANIE KIDWELL
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 258 N THOMPSON ST
    HEMET, CA
    ZIP 92543
  • Phone: (951) 534-9003

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NPI Details

Stephanie Kidwell is a peer specialist in Hemet, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Stephanie Kidwell NPI is 1124768155. 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:

258 N THOMPSON ST
HEMET, CA
ZIP 92543-311
Phone: (951) 534-9003

The enumeration date for this NPI number is 3/29/2022 and was last updated on 11/20/2024.

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
1175T00000XPeer SpecialistNo
2175T00000XPeer SpecialistMPSS-VK5FJXCALIFORNIAYes

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: 3/30/2025

NPI Synchronization or Removal

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