Telika S Kidd

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

0184540 Issued in OH

Practice address

3255 E 55TH St
Cleveland, OH 44127-1501

Phone

(216) 326-4896

NPI assigned

Sep 13, 2021

Reactivated

Dec 10, 2024

Last updated

Dec 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Kidds Adult Health Care Center

  • Case Manager/Care Coordinator
  • Cleveland, OH
  • NPI 1699599647
  NPD Authorized official

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1578232583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 E 55TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271501",
            "telephone_number": "216-326-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 E 55TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271501",
            "telephone_number": "216-326-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "TELIKA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-12-10",
        "certification_date": "2024-10-22",
        "deactivation_date": "2024-11-14",
        "reactivation_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "0184540",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "0184540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184540",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Kidd
• Robyn Kidd
• Shilah Kidd, CT
• Stephanie L Kidd, MA, MED, LPCC/PCC
• Tara M Kidd, PHARMD
• Brenda Kidder, CNS
• Kidds Adult Health Care Center
• Luc Kiebre, RN
• Amie Kiedrowski
• Harry K Kiefer, MD

• Case Manager/Care Coordinator in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.