Individual provider Active NPI

Lloyd Kaide, CPO

  • Prosthetist
  • Everett, WA
National Provider Identifier
1316138654
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
PS00000040 Issued in WA
Practice address
4009 Colby Ave
Everett, WA 98201-4928
Phone
(425) 252-5309
Fax
(425) 252-8745
NPI assigned
Aug 1, 2007
Last updated
Jun 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X OI00000039 WA
Prosthetist 224P00000X PS00000040 WA Primary

Addresses

Primary practice location

4009 Colby Ave
Everett, WA 98201-4928

Mailing address

4009 Colby Ave
Everett, WA 98201-4928
Phone (425) 353-5385

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

LicenseStateTypeSpecialty
OI00000039WAMDOrthotist
PS00000040WAMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1316138654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014928",
            "telephone_number": "425-353-5385",
            "fax_number": "425-348-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014928",
            "telephone_number": "425-252-5309",
            "fax_number": "425-252-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIDE",
        "first_name": "LLOYD",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "OI00000039",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS00000040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.