Milla Kidane

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

10330 Cimmaron TRL
Dallas, TX 75243-2520

Phone

(469) 443-2979

NPI assigned

Jul 1, 2021

Last updated

Sep 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Blue Star Medical Transportation LLC

  • Secured Medical Transport (VAN)
  • Dallas, TX
  • NPI 1306221635
  NPD Authorized official

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1437729308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 CIMMARON TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432520",
            "telephone_number": "469-443-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 CIMMARON TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432520",
            "telephone_number": "469-443-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDANE",
        "first_name": "MILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayla Mae Kicklighter, PA-C
• Kid Pro, PLLC
• Buruk Kidane
• Dawit Kidane
• Ezana Kidane
• Yordanos Ghebremicaheal Kidane, RPH
• Kidd Medical Concepts PLLC
• Avian D Kidd, M.D.
• Jocelyn Denise Kidd, D.D.S
• Kimberly Kidd

• Non-emergency Medical Transport (VAN) in Dallas, TX
• Providers in Dallas, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.