Active NPI
Mandi Kido
- Speech-Language Pathologist
- Greensboro, NC
National Provider Identifier
1306499256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11456
- Practice address
- 5 Dundas Cir Ste B
Greensboro, NC 27407-1638 - Phone
- (336) 294-3338
- NPI assigned
- Jul 19, 2019
- Last updated
- Jul 19, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11456 | NC | Primary |
Addresses
Primary practice location
5 Dundas Cir Ste B
Greensboro, NC 27407-1638
Mailing address
PO Box 38421
Greensboro, NC 27438-8421
Phone (831) 566-9141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11456 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1306499256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38421",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274388421",
"telephone_number": "831-566-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 DUNDAS CIR STE B",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274071638",
"telephone_number": "336-294-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDO",
"first_name": "MANDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-19",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "11456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.