Organization Active NPI

Cuddy Investments, Inc

  • Family Nurse Practitioner
  • Compton, CA
National Provider Identifier
1447654264
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP21822 Issued in CA
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

Updated by the provider on Oct 22, 2014

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.