Active NPI
Sherena Kidd
- Other Technician
- Detroit, MI
National Provider Identifier
1457807695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 16228 Liberal St
Detroit, MI 48205-2021 - Phone
- (248) 299-0030
- NPI assigned
- Aug 28, 2016
- Last updated
- Aug 28, 2016
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
16228 Liberal St
Detroit, MI 48205-2021
Mailing address
16228 Liberal
Detroit, MI 48205
Phone (248) 299-0030
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472342400000",
"number": "1457807695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16228 LIBERAL",
"city": "DETROIT",
"state": "MI",
"postal_code": "48205",
"telephone_number": "248-299-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16228 LIBERAL ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482052021",
"telephone_number": "248-299-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDD",
"first_name": "SHERENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2016-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
- Brian Michael Kibby, AU.D.
- Onkemetse Phillip Kibitwe, PHARMD
- Alexandra Merritt Kidd
- Dora Kidd, LBSW
- Marian Annice Kidd, MS
- Valerie Kidd
- Kidds Comfort Transportation Services,LLC
- Kidney Centers of Michigan LLC (New Center Dialysis)
- Kidney Centers of Michigan LLC (Detroit Dialysis Center)
- Kidneys and Medical Care PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.