Denise King Kidder, FNP, APRN, MSN/ED

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71006308A Issued in IN

Practice address

6140 E Columbia St
Evansville, IN 47715-9133

Phone

(812) 475-1948

Fax

(812) 401-1267

NPI assigned

May 19, 2015

Last updated

Sep 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evansville Multi Specialty Clinic PCGroup PAC ID 3779597976, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Evansville Multi-Specialty Clinic, PC

  • Medical Oncology Physician
  • Evansville, IN
  • NPI 1790730612

  Family

  Medicare reassignment Care Compare group NPD
• Evansville Cancer Care, PC

  • Medical Oncology Physician
  • Mount Carmel, IL
  • NPI 1508811423
  NPD
• Onhealthcare LLC

  dba OnHealthcare Podiatry

  • Podiatrist
  • Indianapolis, IN
  • NPI 1952677353
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Deaconess Hospital Inc

  dba The Women's Hospital

  • General Acute Care Hospital
  • Newburgh, IN
  • NPI 1780535427
  Care Compare affiliation
• Deaconess Hospital, Inc.

  • General Acute Care Hospital
  • Evansville, IN
  • NPI 1053361642
  Care Compare affiliation

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1184003501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 E COLUMBIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159133",
            "telephone_number": "812-475-1948",
            "fax_number": "812-401-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 E COLUMBIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159133",
            "telephone_number": "812-475-1948",
            "fax_number": "812-401-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDDER",
        "first_name": "DENISE",
        "middle_name": "KING",
        "name_prefix": "Ms.",
        "credential": "FNP, APRN, MSN/ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "736145",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006308A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humza Khan, MD
• Mansoor A Khan, M.D.
• Muhammad Alamgir Khan, MBBS
• Zaraq Ahmad Khan, MBCHB
• Anna Jane Kidd
• Destiny Kidwell, RD
• Adam Gene Kiefer, D.D.S.
• Marlee Kiefer
• Tammy S Kiefer
• Nathaniel Wayne Kiegel, RRT

• Family Nurse Practitioner in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.