Kyra Littledike, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

39754 Issued in ID

Practice address

707 F St
Rupert, ID 83350-1638

Phone

(208) 650-3977

NPI assigned

Jun 19, 2020

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 19, 2020.

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1285250852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 F ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 F ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501638",
            "telephone_number": "208-650-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLEDIKE",
        "first_name": "KYRA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "39754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Brent Keller, P.A.
• Janet King, RN NP
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• Elisabeth Erin Lehr, O.D.
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• Alicia G Malan
• Flor Mancias
• Nicole Manning

• All providers in Rupert, ID
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.