Elizabeth Kidd

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN076115 Issued in LA

Practice address

3100 Kilpatrick Blvd Ste 102
Monroe, LA 71201-5156

Phone

(318) 325-8048

NPI assigned

Dec 17, 2019

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Monroe, LA
  • NPI 1699964148
  NPD

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1396383733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 KILPATRICK BLVD STE 102",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 KILPATRICK BLVD STE 102",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015156",
            "telephone_number": "318-325-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN076115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imran A. Khan, MD
• M Muzzamil Yasin Khan, M.D.
• Muhammad Awais Khan, MD
• Nashat M Khanfar, M.D.
• Safiya Khurshid, PHARMD
• Christian Alexandra Kiddy
• Kidhealth, LLC
• Kidney Services of Northeast la a Professional Medical Corporation
• Cecilia Kieliszewski, AT
• Hemanth Kilaru

• Registered Nurse in Monroe, LA
• Providers in Monroe, LA by specialty
• Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.