Active NPI
Kydia Sicard
- Physician Assistant
- Orefield, PA
National Provider Identifier
1457125916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA064914
- Practice address
- 5300 Kidspeace Dr
Orefield, PA 18069-2000 - Phone
- (800) 854-3123
- NPI assigned
- Nov 14, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA064914 | PA | Primary |
Addresses
Primary practice location
5300 Kidspeace Dr
Orefield, PA 18069-2000
Mailing address
1252 Center St
Coplay, PA 18037-1409
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA064914 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1457125916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1252 CENTER ST",
"city": "COPLAY",
"state": "PA",
"postal_code": "180371409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 KIDSPEACE DR",
"city": "OREFIELD",
"state": "PA",
"postal_code": "180692000",
"telephone_number": "800-854-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICARD",
"first_name": "KYDIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-14",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA064914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orefield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.