Individual provider Active NPI

Auburn Berry Kidd, MSN, FNP

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1780141200
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903188 Issued in MS
Practice address
4715 24TH PL
Meridian, MS 39305-1686
Phone
(601) 696-6736
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903188 MS Primary

Addresses

Primary practice location

4715 24TH PL
Meridian, MS 39305-1686

Mailing address

11056 Quitman Meridian Hwy
Meridian, MS 39301-7779
Phone (601) 480-7861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200603000316 MS Practitioner - Nurse Practitioner 0446671218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saul Dermatology P.a.Group PAC ID 0244529105, 2 clinicians

Practice addresses (Care Compare)

5002 Hwy 39 N
BLDG a
Meridian, MS 39301-1078
Phone (601) 485-8115

Merit-based Incentive Payment System (MIPS)

Final score
98.01 of 100Reported as group
Quality
96.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saul Dermatology PA CurrentSince Jan 16, 2023 Accepting new patients
Don S Davis MD PA PastSince Jan 16, 2023 Accepting new patients

Locations

5002 Highway 39 N
Bldg A
Meridian, MS 39301
Phone (601) 485-8115

Organizations & group practices 2

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": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1780141200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11056 QUITMAN MERIDIAN HWY",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393017779",
            "telephone_number": "601-480-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 24TH PL",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393051686",
            "telephone_number": "601-696-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "AUBURN",
        "middle_name": "BERRY",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.