Active NPI
Sarah Jean Kidde, CNM
- Midwife
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 5935921-4402
- Practice address
- 10 S 2000 E
Salt Lake City, UT 84112-5880 - Phone
- (801) 581-4014
- NPI assigned
- Jul 28, 2008
- Last updated
- Dec 6, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | 5935921-4402 | UT | Primary |
Addresses
Primary practice location
10 S 2000 E
Salt Lake City, UT 84112-5880
Mailing address
1371 E Gilmer Dr
Salt Lake City, UT 84105-1602
Phone (801) 913-1030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5935921-4402 | UT | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
201 W Layton Pkwy
Ste 2B
Layton, UT 84041
Phone (801) 543-6850
5121 S Cottonwood St
Ste 170
Salt Lake City, UT 84107
Phone (801) 507-7070
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
dba Cedar City Heart Clinic
- Cardiovascular Disease Physician
- Cedar City, UT
- NPI 1922132729
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
dba Orem Community Hospital Physicians
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512518400000",
"number": "1063677276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1371 E GILMER DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841051602",
"telephone_number": "801-913-1030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 S 2000 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841125880",
"telephone_number": "801-581-4014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDDE",
"first_name": "SARAH",
"middle_name": "JEAN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-28",
"last_updated": "2017-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "UT",
"license": "5935921-4402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.