Active NPI
Kanwaljit K Sidhu, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Palm Harbor, FL
National Provider Identifier
1134475627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN9438337
- Practice address
- 2595 Tampa Rd Ste C
Palm Harbor, FL 34684-3130 - Phone
- (630) 849-8756
- Fax
- (727) 382-1382
- NPI assigned
- Aug 2, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9438337 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9438337 | FL | Primary |
Addresses
Primary practice location
2595 Tampa Rd Ste C
Palm Harbor, FL 34684-3130
Mailing address
2595 Tampa Rd Ste C
Palm Harbor, FL 34684-3130
Phone (630) 849-8756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2595 Tampa Rd
Suite C
Palm Harbor, FL 34684-3130
Phone (630) 849-8756
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sidhu Health Inc | Family | Current | Accepting new patients |
Locations
2595 Tampa Rd
Ste C
Palm Harbor, FL 34684
Phone (630) 849-8756
Organizations & group practices 2
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": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1134475627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2595 TAMPA RD STE C",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843130",
"telephone_number": "630-849-8756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2595 TAMPA RD STE C",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843130",
"telephone_number": "630-849-8756",
"fax_number": "727-382-1382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDHU",
"first_name": "KANWALJIT",
"middle_name": "K",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-02",
"last_updated": "2025-03-24",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9438337",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN9438337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.