Celia Lasky Kidder, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

884020 Issued in MS

Practice address

2110 5TH St N
Columbus, MS 39705-2210

Phone

(662) 243-2435

Fax

(662) 328-7037

NPI assigned

Mar 2, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westmoreland Dermatology and Surgery Center, PAGroup PAC ID 2567497696, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.73 of 100Reported as individual

Quality

77.45

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: celia.kidder.d1.p1@direct.westmoreland-derm.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Westmoreland Dermatology & Surgery Center, PA

  • Dermatology Physician
  • Columbus, MS
  • NPI 1043309974
  Medicare reassignment Care Compare group NPD
• Sharp Dermatopathology LLC

  • Clinical Medical Laboratory
  • Columbus, MS
  • NPI 1457676058
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1013541820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052210",
            "telephone_number": "662-243-2435",
            "fax_number": "662-328-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052210",
            "telephone_number": "662-243-2435",
            "fax_number": "662-328-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDDER",
        "first_name": "CELIA",
        "middle_name": "LASKY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "884020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly M Trout DMD PLLC
• Richard Tyler Kelly
• Lindsay Ashby Kemp, CFNP
• Crystal Kerneal, MHT
• Kevins Caregiver Network LLC (EnhDme)
• Victoria Danielle Kilburn, NP
• James Kilgore, DPM
• Min S Kim, MD
• Kabria Kincaid
• King and Associates Cardiology PLLC

• Family Nurse Practitioner in Columbus, MS
• Providers in Columbus, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.