Nadia Kidun, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71004226 Issued in IN

Practice address

60137 County Road 21
Goshen, IN 46528-7838

Phone

(574) 538-7746

NPI assigned

Oct 18, 2012

Last updated

Jul 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nadia.kidun@goshenhealthdirect.com

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.

• Goshen Hospital Association Inc

  • General Acute Care Hospital
  • Goshen, IN
  • NPI 1740268846
  NPD
• Elite Emergency Physicians Inc

  • Emergency Medicine Physician
  • Elkhart, IN
  • NPI 1932155371
  NPD (past)
• Hendricks Chiropractic PC

  dba Amberwood Terrace Chiropractic

  • Chiropractor
  • Elkhart, IN
  • NPI 1124235254
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1255684031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60137 COUNTY ROAD 21",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465287838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60137 COUNTY ROAD 21",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465287838",
            "telephone_number": "574-538-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDUN",
        "first_name": "NADIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28172248A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saira Khan, MD
• Ram Khattri Chettri, FNP-C, MS, MATS, RN
• Angela Kay Kidd, COTA
• Britney Leigh Anne Kidd
• Kenya M Kidder, LCSW
• Lisa M. Kim, PTA
• Jillian Alyssa Kimp, FNP
• Marilyn Grace Kindig
• Amy King, LCSW
• Brian D. King, MD

• Family Nurse Practitioner in Goshen, IN
• Providers in Goshen, 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 Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.