CECILEE K KIDD (NPI# 1962910224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962910224 |
| Entity Type | Individual |
| Full Name | CECILEE K KIDD |
| Credential | BS |
| Practice Address |
867 N Fair Oaks Ave Pasadena CA 91103 |
| Mailing Address |
867 N Fair Oaks Ave Pasadena CA 91103-3050 |
| Practice Telephone | 6267986793 |
| Mailing Telephone | 6267986793 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
867 N FAIR OAKS AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437229697 | Monica Vega | Marriage & Family Therapist | 867 N Fair Oaks Ave, Pasadena, CA 91103-3083 | 2006-11-08 |
| 1104426832 | Andrea Christina Ortiz | Licensed Vocational Nurse | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2020-10-30 |
| 1174130090 | Mariana Vazquez Espinoza | Rehabilitation Practitioner | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2020-09-24 |
| 1538772900 | Karina Nicol Ramos Melendrez | Rehabilitation Practitioner | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2020-08-26 |
| 1942811252 | Omar Gonzalez | Social Worker | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2020-08-11 |
| 1871103572 | Maria Del Carmen Amador Gomez | Rehabilitation Practitioner | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2020-08-06 |
| 1972112423 | Ralph Hardin | Rehabilitation Practitioner | 867 N Fair Oaks Ave, Pasadena, CA 91103-3083 | 2020-07-29 |
| 1457960148 | Kama Willis-jamison | Rehabilitation Practitioner | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2020-07-28 |
| 1710596416 | Vanessa Thomas | Rehabilitation Practitioner | 867 N Fair Oaks Ave, Pasadena, CA 91103-3083 | 2020-07-28 |
| 1184232936 | Keonee N Lyles | Licensed Vocational Nurse | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2020-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1437671807 | Yolanda Centeno | Marriage & Family Therapist | 867 Fairoaks., Pasadena, CA 91103 | 2017-07-07 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
| 1629505425 | Wassim Ammary | Pharmacist | 1855 South Fair Oaks Ave, Pasadena, CA 91103 | 2017-05-11 |
| 1679005920 | Grace Caroline Seto | Marriage & Family Therapist | 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 | 2017-03-28 |
| 1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
| Find all providers in zip 91103 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669008991 | Delman Lee Williams | Rehabilitation Practitioner | 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 | 2020-03-18 |
| 1548805344 | Aimee Isabelle Rodriguez | Rehabilitation Practitioner | 100 W Walnut St Ste 375110, Pasadena, CA 91103-3697 | 2019-11-15 |
| 1518427830 | Samantha Jo Elvira Haun | Rehabilitation Practitioner | 867 N Fair Oaks Ave # 867, Pasadena, CA 91103-3050 | 2019-03-22 |
| 1477041580 | Imani Nicole Glenn | Rehabilitation Practitioner | 1575 E Washington Blvd, Pasadena, CA 91104-2675 | 2018-04-24 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1366821613 | Claudia Boileu-flores | Rehabilitation Practitioner | 940 Avenue, 64, Pasadena, CA 91105 | 2015-05-20 |
| 1497161756 | Marine Bambakyan | Rehabilitation Practitioner | 66 Hurlbut St Fl 2, Pasadena, CA 91105-4026 | 2014-07-08 |
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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.