BRENDA KIDDER


Address: 11100 Euclid Ave, Cleveland, OH 44106-1716
Phone: 2168447700

BRENDA KIDDER (NPI# 1245251057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245251057
Entity Type Individual
Full Name BRENDA KIDDER
Credential CNS
Practice Address 11100 Euclid Ave
Cleveland
OH 44106-1716
Mailing Address 24701 Euclid Ave
3rd Floor
Euclid
OH 44117-1714
Practice Telephone 2168447700
Practice Fax Number 2162866341
Enumeration Date 2006-07-21
Last Update Date 2010-06-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0200X Clinical Nurse Specialist
Specialization: Pediatrics
1802-NS OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH ANTHEM 000000526071 01
OH WELLCARE 363699 01
OH BUCKEYE 750700 01
OH 2776830 05
OH AETNA 7876700 01
OH UNISON 000000224407 01
OH ANTHEM 000000370806 01
PA PA MEDICAID 1021104990001 01

Office Location

Street Address 11100 EUCLID AVE
City CLEVELAND
State OH
Zip Code 44106-1716

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801899927 Joel H. Elconin Radiology 11100 Euclid Ave, Ireland/seidman Radiation Oncology, Cleveland, OH 44106 2005-05-23
1386245207 Dalal Hamad A Alsaggabi Student in an Organized Health Care Education/Training Program 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-11-06
1922609809 Melanie Wolf Registered Nurse 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-11-05
1093313918 Aryn Rose Pecoraro Nurse Practitioner 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-10-13
1366058331 Harun Abukar Registered Nurse 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-09-16
1205442290 Jessica Regan Dietitian, Registered 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-09-16
1740895960 Sara Lyn Stefano Nurse Practitioner 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-09-14
1063026052 Meredith Barker Nurse Practitioner 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-09-07
1124631114 Luis Augusto Palma Dallan Student in an Organized Health Care Education/Training Program 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-08-28
1023621216 Stephanie Casto Nurse Practitioner 11100 Euclid Ave, Cleveland, OH 44106-1716 2020-08-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295347706 Adeeb Oweidat Anesthesiology 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 2020-08-18
1104434240 Bradly Miner Student in an Organized Health Care Education/Training Program Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 2020-07-15
1306466974 Ho Jun Lee Student in an Organized Health Care Education/Training Program 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 2020-04-23
1528687837 Shaleeka Cornelius Student in an Organized Health Care Education/Training Program 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 2020-04-16
1598393175 Mikdat Ulas Student in an Organized Health Care Education/Training Program 111000 Euclid Avenue, Cleveland, OH 44106 2020-03-30
1790335651 Michelle Clark Home Health Aide 1794 E 87th St, Cleveland, OH 44106 2019-09-12
1881246783 Oziel Valdez Sanchez Student in an Organized Health Care Education/Training Program 11900 Euclid Ave, Cleveland, OH 44106 2019-07-10
1487216842 Betina Griens Porto Dentist 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 2019-07-05
1407417140 Rebecca Petts Dentist 9601 Chester Ave, Cleveland, OH 44106 2019-06-24
1023677259 Moeen Al Weshah Student in an Organized Health Care Education/Training Program 9601 Chester Ave # 239j3, Cleveland, OH 44106 2019-06-11
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Taxonomy Information

Taxonomy Code 364SP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891727848 Lori L Fox Clinical Nurse Specialist 2500 Metrohealth Dr, Mhmc-pediatrics, Cleveland, OH 44109-1900 2006-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366081580 Helping Hands Child Care and Wellness Center Clinical Nurse Specialist 4000 Oberlin Ave Ste 3, Lorain, OH 44053-2800 2020-01-06
1275755787 Elizabeth J. Kendrick Clinical Nurse Specialist 1 Perkins Square, Akron, OH 44308 2007-05-03
1043618358 Katherine Griffiths Clinical Nurse Specialist 1 Children's Plaza, Dayton Children's Hospital, Dayton, OH 45404 2014-12-18
1528485786 Meghan Moore Clinical Nurse Specialist 1 Childrens Plz, Dayton, OH 45404-1873 2014-03-26
1982030094 Sarah Ruth Smink Clinical Nurse Specialist 700 Childrens Dr, Columbus, OH 43205-2664 2013-09-20
1699018168 Connie Marie Teal Clinical Nurse Specialist 1 Perkins Sq, Akron, OH 44308-1063 2013-04-02
1497027031 Lucinda Brown Clinical Nurse Specialist 3333 W Tech Blvd, Miamisburg, OH 45342-0955 2012-01-27
1194059113 Karen D. Daniel Clinical Nurse Specialist 9000 N Main St, Suite 332, Dayton, OH 45415-1180 2009-09-23
1871751701 Mary Christine Smith Clinical Nurse Specialist 960 Clague Rd, Suite #2470, Westlake, OH 44145-1582 2008-05-28
1831388065 Mary E Gagliano Clinical Nurse Specialist 4575 Everhard Rd Nw, Canton, OH 44718-2406 2007-10-24
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Competitor

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City CLEVELAND
Zip Code 44106

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Dataset Information

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.

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