MARY R KIDD (NPI# 1114481942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114481942 |
| Entity Type | Individual |
| Full Name | MARY R KIDD |
| Credential | APNP |
| Practice Address |
610 S Lincoln Rd Escanaba MI 49829-1215 |
| Mailing Address |
Po Box 22487 Green Bay WI 54305-2487 |
| Practice Telephone | 9067866488 |
| Practice Fax Number | 9067866409 |
| Mailing Telephone | 9204457222 |
| Mailing Fax Number | 9204457289 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 246069-30 | WI | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 4704305878 | MI | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704305878 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9045-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN ACADEMY OF NURSE PRACTITIONERS | F09181074 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 441 French St, Peshtigo, WI 541571203 | 7155829949 | 7155824464 |
| 831 Parker Ave, Algoma, WI 542011808 | 9204873676 | 9204873084 |
| 1100 10th St, Menominee, MI 498583062 | 9068637987 | 9068635762 |
| 610 S Lincoln Rd, Escanaba, MI 498291215 | 9067866488 | 9067866409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851872675 | Mary Elizabeth Kidd | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2018-08-29 |
| 1740465459 | Mary E Kidd | Occupational Therapist | 349 Hawthorne Dr, Denver, PA 17517-1720 | 2008-01-02 |
| 1619093234 | Mary K Kidd | Counselor | 4851 Independence St Ste 270, Wheat Ridge, CO 80033-6712 | 2007-03-22 |
| Street Address |
610 S LINCOLN RD |
| City | ESCANABA |
| State | MI |
| Zip Code | 49829-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447244470 | Tangerine R Dupuis | Family Medicine | 610 S Lincoln Rd, Escanaba, MI 49829-1215 | 2005-09-06 |
| 1700432135 | Ashley M Meshigaud | Physical Therapist | 610 S Lincoln Rd, Escanaba, MI 49829-1215 | 2019-08-12 |
| 1821559600 | Leah Marie Curran | Nurse Practitioner | 610 S Lincoln Rd, Escanaba, MI 49829-1940 | 2019-03-26 |
| 1194225771 | Kelly Ann Florenski | Physical Therapist | 610 S Lincoln Rd, Escanaba, MI 49829-1215 | 2018-02-20 |
| 1831608421 | Laura L Maki | Pharmacist | 610 S Lincoln Rd, Escanaba, MI 49829-1215 | 2017-09-26 |
| 1922558600 | Stephen Lawrence Young | Physician Assistant | 610 S Lincoln Rd, Escanaba, MI 49829-9312 | 2016-10-06 |
| 1093188351 | Casey Lynn Young | Dietitian, Registered | 610 S Lincoln Rd, Escanaba, MI 49829-1215 | 2015-11-09 |
| 1881034965 | Justin J Lacrosse | Family Medicine | 610 S Lincoln Rd, Escanaba, MI 49829-1215 | 2013-07-03 |
| 1801150206 | Bellin Psychiatric Center Inc. | Psychiatry & Neurology | 610 S Lincoln Rd, Escanaba, MI 49829-1215 | 2012-06-29 |
| 1134435209 | Gloria Lynn Peterson | Physician Assistant | 610 S Lincoln Rd, Escanaba, MI 49829-1215 | 2010-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192510 | Haas Hearing Pllc | Audiologist | 423 Ludington Street, Escanaba, MI 49829 | 2020-07-28 |
| 1104308535 | Lindsay Hope Hall | Occupational Therapist | 2415 5th Ave, Escanaba, MI 49829 | 2018-09-01 |
| 1962941260 | Amber Joy Quigley | Speech-Language Pathologist | 300 Willow Creek Road, Escanaba, MI 49829 | 2017-02-20 |
| 1316377799 | Michelle M Holochwost | Physical Therapist | 501 S. Lincoln Road, Escanaba, MI 49829 | 2013-11-20 |
| 1518304179 | Megan Haas | Audiologist | 423, Suite 1, Escanaba, MI 49829 | 2013-05-22 |
| 1063768422 | Stacey Lynn Cole | Nurse Practitioner | 3409 Ludington St Ste 104, Escanaba, MI 49829 | 2012-08-03 |
| 1407177678 | Sarah Jean Nault | Physical Therapist | 501 S. Lincoln Rd, Escanaba, MI 49829 | 2010-06-22 |
| 1851572960 | James Brian Hull | Occupational Therapist | 2415 Fifth Avenue South, Escanaba, MI 49829 | 2007-11-16 |
| 1497942841 | Anne M Stein | Nurse Practitioner | 7100 Co. Rd. 426, Escanaba, MI 49829 | 2007-10-01 |
| 1083813703 | Michael Czerkes | Obstetrics & Gynecology | 3409 Ludington St Ste 204, Escanaba, MI 49829 | 2007-07-12 |
| Find all providers in zip 49829 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063768422 | Stacey Lynn Cole | Nurse Practitioner | 3409 Ludington St Ste 104, Escanaba, MI 49829 | 2012-08-03 |
| 1497942841 | Anne M Stein | Nurse Practitioner | 7100 Co. Rd. 426, Escanaba, MI 49829 | 2007-10-01 |
| 1679113385 | Stacey Lynn Stier | Nurse Practitioner | 3401 Ludington St, Escanaba, MI 49829-1300 | 2020-01-10 |
| 1821559600 | Leah Marie Curran | Nurse Practitioner | 610 S Lincoln Rd, Escanaba, MI 49829-1940 | 2019-03-26 |
| 1043665045 | Ashlee Laplant | Nurse Practitioner | 710 S Lincoln Rd Ste 100, Escanaba, MI 49829-1293 | 2016-04-27 |
| 1447548037 | Mark Allen Janofski | Nurse Practitioner | 3401 Ludington St, Escanaba, MI 49829-1300 | 2011-07-15 |
| 1306004155 | Marquette General Hospital, Inc. | Nurse Practitioner | 2530 1st Ave N, Escanaba, MI 49829-1390 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
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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.