Active NPI
Seth T Kidwell, MSN, FNP-BC
- Family Nurse Practitioner
- Miamisburg, OH
National Provider Identifier
1033533484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.15652
- Practice address
- 3333 W Tech Rd
Miamisburg, OH 45342-0955 - Phone
- (937) 641-4000
- Fax
- (937) 641-6492
- NPI assigned
- Feb 5, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.15652 | OH | Primary |
Addresses
Primary practice location
3333 W Tech Rd
Miamisburg, OH 45342-0955
Mailing address
1 Childrens PLZ
Dayton, OH 45404-1815
Phone (937) 641-3000
Other practice location 1
1 Childrens Plz
Dayton, OH 45404-1815
Phone (937) 641-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0098170 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1033533484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHILDRENS PLZ",
"city": "DAYTON",
"state": "OH",
"postal_code": "454041815",
"telephone_number": "937-641-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 W TECH RD",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453420955",
"telephone_number": "937-641-4000",
"fax_number": "937-641-6492"
}
],
"practiceLocations": [
{
"address_1": "1 Childrens Plz",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454041815",
"country_code": "US",
"telephone_number": "937-641-4000",
"fax_number": "937-641-6492",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIDWELL",
"first_name": "SETH",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "MSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-05",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.15652",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0098170",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miamisburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.