Active NPI
Cuddy Investments, Inc
- Family Nurse Practitioner
- Compton, CA
National Provider Identifier
1447654264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP21822
- Legal business name
- CUDDY INVESTMENTS, INC
- Practice address
- 1112 N Santa Fe Ave
Compton, CA 90221-1427 - Phone
- (310) 638-1100
- Fax
- (310) 638-0008
- NPI assigned
- Oct 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Jeanette Monique Kidd, FNP-C
- Title
- Onwer
- Phone
- (310) 638-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP21822 | CA | Primary |
Addresses
Primary practice location
1112 N Santa Fe Ave
Compton, CA 90221-1427
Mailing address
1112 N Santa Fe Ave
Compton, CA 90221-1427
Phone (310) 638-1100
Other names 1
- JMK Community Health Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413936000000",
"number": "1447654264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 N SANTA FE AVE",
"city": "COMPTON",
"state": "CA",
"postal_code": "902211427",
"telephone_number": "310-638-1100",
"fax_number": "310-638-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 N SANTA FE AVE",
"city": "COMPTON",
"state": "CA",
"postal_code": "902211427",
"telephone_number": "310-638-1100",
"fax_number": "310-638-0008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUDDY INVESTMENTS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-22",
"last_updated": "2014-10-22",
"status": "A",
"authorized_official_last_name": "KIDD",
"authorized_official_first_name": "JEANETTE",
"authorized_official_middle_name": "MONIQUE",
"authorized_official_title_or_position": "ONWER",
"authorized_official_telephone_number": "310-638-1100",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP21822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JMK Community Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Compton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.