Active NPI
Kristine P. Sidon, O.T.
- Local Education Agency (LEA)
- Syracuse, NY
National Provider Identifier
1417245366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Practice address
- 400 Walberta Rd
Syracuse, NY 13219-2214 - Phone
- (315) 426-3200
- NPI assigned
- Jul 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
400 Walberta Rd
Syracuse, NY 13219-2214
Mailing address
400 Walberta Rd
Syracuse, NY 13219-2214
Phone (315) 426-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01366623 | Medicaid | NY |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westhill CSD | Local Education Agency (Lea) | Past | Accepting new patients |
| Westhill Central School District | Local Education Agency (Lea) | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Syracuse, NY
- NPI 1790089944
-
- Local Education Agency (LEA)
- Syracuse, NY
- NPI 1538205166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1417245366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WALBERTA RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132192214",
"telephone_number": "315-426-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WALBERTA RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132192214",
"telephone_number": "315-426-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDON",
"first_name": "KRISTINE",
"middle_name": "P.",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01366623",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.