Active NPI
Kimberly Nina Kidd-Watkins, RN, MSN
- Registered Nurse
- Hanover, MD
National Provider Identifier
1437429560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R099642
- Practice address
- 1730 Theale Way
Hanover, MD 21076-1899 - Phone
- (443) 336-9283
- NPI assigned
- Jan 5, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R099642 | MD | Primary |
Addresses
Primary practice location
1730 Theale Way
Hanover, MD 21076-1899
Mailing address
1730 Theale Way
Hanover, MD 21076-1899
Phone (443) 336-9283
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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R099642 | MD | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1437429560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 THEALE WAY",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761899",
"telephone_number": "443-336-9283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 THEALE WAY",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761899",
"telephone_number": "443-336-9283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDD-WATKINS",
"first_name": "KIMBERLY",
"middle_name": "NINA",
"name_prefix": "Mrs.",
"credential": "RN, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-05",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R099642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.