Debra Renee Kidd, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R031850 Issued in AR

Practice address

3901 McCain Park Dr
North Little Rock, AR 72116-7849

Phone

(501) 916-9693

Fax

(501) 916-9804

NPI assigned

Sep 13, 2012

Sex

Female

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1356691703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MANDY CV",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720762100",
            "telephone_number": "501-607-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MCCAIN PARK DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167849",
            "telephone_number": "501-916-9693",
            "fax_number": "501-916-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "DEBRA",
        "middle_name": "RENEE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R031850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maha Khatib, CPHT
• Arian Khoshgowari, DO
• Denesh K Khullar, DDS
• Kid Quest Incorporated
• Kid Quest Incorporation
• Kids Point Therapy
• Kidz Connection
• Reed W Kilgore, M.D.
• Margaret Marie Kimball, LMSW
• Madeline Luke Kimbrell, RDN, LD

• Registered Nurse in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.