Tyrone Sabaston Kidd

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

10760-07-006 Issued in VA

Practice address

2211 Chateau Dr Apt H
Richmond, VA 23224-2734

Phone

(804) 714-4563

NPI assigned

Apr 8, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Common Care Therapeutic LLC

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1932945912
  NPD Authorized official

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1265285407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 CHATEAU DR APT H",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242734",
            "telephone_number": "804-714-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CHATEAU DR APT H",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242734",
            "telephone_number": "804-714-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "TYRONE",
        "middle_name": "SABASTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "10760-07-006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talea Khwaja
• Eleanor Kiarsis
• Holly Jason Kibble, M.D.
• Jason Michael Kidd, MD
• Randi Lynn Kidd, MS, ATC, CES
• Alexandra Kiddy, CRNA
• Kids Collab Speech and Language Services, LLC
• Kids in Focus II, Inc.
• Kids in Focus of VA
• Kidz Kare at Home, Inc

• Community/Behavioral Health Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.