Active NPI
Emily Kidwell
- Audiologist
- San Francisco, CA
National Provider Identifier
1508504390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3852
- Practice address
- 2330 Post St Ste 270
San Francisco, CA 94115-3466 - Phone
- (415) 353-2101
- NPI assigned
- May 23, 2022
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 3852 | CA | Primary |
Addresses
Primary practice location
2330 Post St Ste 270
San Francisco, CA 94115-3466
Mailing address
4810 17TH St
San Francisco, CA 94117-4331
Phone (502) 489-7924
Other practice location 1
1825 4th St Fl 5
San Francisco, CA 94143-2350
Phone (415) 353-2101
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 |
|---|---|---|---|
| 3852 | CA | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1508504390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 17TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941174331",
"telephone_number": "502-489-7924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 POST ST STE 270",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153466",
"telephone_number": "415-353-2101"
}
],
"practiceLocations": [
{
"address_1": "1825 4th St Fl 5",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941432350",
"country_code": "US",
"telephone_number": "415-353-2101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIDWELL",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-23",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "3852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.