NPIMap

Individual provider Active NPI

Kristie Kido

  • Speech-Language Pathologist
  • Kaneohe, HI
National Provider Identifier
1467721993
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 938 Issued in HI
Practice address
45-691 Keaahala Rd
Room 30
Kaneohe, HI 96744-3569
Phone
(808) 233-5495
Fax
(808) 233-5494
NPI assigned
Dec 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 938 HI Primary

Addresses

Primary practice location

45-691 Keaahala Rd
Room 30
Kaneohe, HI 96744-3569

Mailing address

45-691 Keaahala Rd
Room 30
Kaneohe, HI 96744-3569
Phone (808) 233-5495

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

LicenseStateTypeSpecialty
SP 938HIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Windward Early Childhood Services Program Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1467721993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-691 KEAAHALA RD",
            "address_2": "ROOM 30",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443569",
            "telephone_number": "808-233-5495",
            "fax_number": "808-233-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-691 KEAAHALA RD",
            "address_2": "ROOM 30",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443569",
            "telephone_number": "808-233-5495",
            "fax_number": "808-233-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDO",
        "first_name": "KRISTIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "SP 938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.