Individual provider Active NPI

Helen Teahton Kidka

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1093581068
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10230736 Issued in CA
Practice address
650 Howe Ave Ste 600
Sacramento, CA 95825-4797
Phone
(916) 953-7571
Fax
(916) 771-8515
NPI assigned
Nov 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10230736 CA Primary

Addresses

Primary practice location

650 Howe Ave Ste 600
Sacramento, CA 95825-4797

Mailing address

539 Bald Eagle Dr
Vacaville, CA 95688-1021
Phone (707) 400-8873

Other practice location 1

539 Bald Eagle Dr
Vacaville, CA 95688-1021
Phone (707) 400-8873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20240617003376 CA Practitioner - Nurse Practitioner 3274076336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain Diagnostic and Solutions IncGroup PAC ID 2264695196, 20 clinicians

Practice addresses (Care Compare)

650 Howe Ave
Suite 600
Sacramento, CA 95825-4797
Phone (916) 953-7571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F10230736CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Diagnostic & Solutions, Inc. CurrentSince May 21, 2024 Accepting new patients

Locations

729 Sunrise Ave
Ste 611
Roseville, CA 95661
Phone (916) 953-7571

729 Sunrise Ave
Ste 602
Roseville, CA 95661
Phone (916) 781-7882

650 Howe Ave
Ste 600
Sacramento, CA 95825
Phone (916) 953-7571

Interoperability endpoints

  • Direct secure messaging: helen.kidka.p1@direct.apdss.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1093581068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 BALD EAGLE DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956881021",
            "telephone_number": "707-400-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HOWE AVE STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254797",
            "telephone_number": "916-953-7571",
            "fax_number": "916-771-8515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "539 Bald Eagle Dr",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956881021",
            "country_code": "US",
            "telephone_number": "707-400-8873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDKA",
        "first_name": "HELEN",
        "middle_name": "TEAHTON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F10230736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.