Active NPI
Kidan Kidane
- Psychiatric/Mental Health Nurse Practitioner
- Tarrytown, NY
National Provider Identifier
1831944107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F406239
- Practice address
- 1 Neperan Rd
Tarrytown, NY 10591-3436 - Phone
- (914) 893-4232
- NPI assigned
- Apr 20, 2024
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F406239 | NY | Primary |
Addresses
Primary practice location
1 Neperan Rd
Tarrytown, NY 10591-3436
Mailing address
235 W 48TH St Apt 36E
New York, NY 10036-1432
Phone (470) 585-7360
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 |
|---|---|---|---|
| F406239 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1831944107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 W 48TH ST APT 36E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100361432",
"telephone_number": "470-585-7360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 NEPERAN RD",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105913436",
"telephone_number": "914-893-4232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDANE",
"first_name": "KIDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-20",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F406239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.