Kaddie Kallon Nursing, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KADDIE KALLON NURSING, LLC

Doing business as

SIEBITI WELLNESS CENTER

Practice address

1503 Evarts St NE
Washington, DC 20018-2017

Phone

(240) 899-2928

Fax

(240) 451-1080

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Kaddie Kallon, NP

Title

Ceo

Phone

(240) 899-2928

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SIEBITI WELLNESS CENTER Doing business as

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1366120495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 EVARTS ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182017",
            "telephone_number": "240-899-2928",
            "fax_number": "240-451-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 EVARTS ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182017",
            "telephone_number": "240-899-2928",
            "fax_number": "240-451-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADDIE KALLON NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-08",
        "status": "A",
        "authorized_official_last_name": "KALLON",
        "authorized_official_first_name": "KADDIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-899-2928",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427519404",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIEBITI WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vishal Dixit Kadakia, M.D.
• Anjana Kadakkal
• Mohammad Kadamany, M.D.
• Kadara Multi-Service Inc
• Anil Kumar Kadari, RPH
• Kade Incorporation
• Rebin Kader, D.O
• Mudiwah Abashalom Kadeshe, RN,IBCLC
• Lynda A Kadia
• Sandra Njifack Kadia

• Psychiatric/Mental Health Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatric/Mental Health Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.