Individual provider Active NPI

Harriet Kiddu

  • Licensed Practical Nurse
  • Burlington, MA
National Provider Identifier
1861153900
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LN86728 Issued in MA
Practice address
14B Seven Springs LN
Burlington, MA 01803-5123
Phone
(781) 308-1345
NPI assigned
Dec 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LN86728 MA Primary

Addresses

Primary practice location

14B Seven Springs LN
Burlington, MA 01803-5123

Mailing address

14B Seven Springs LN
Burlington, MA 01803-5123
Phone (781) 308-1345

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
LN86728MAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Elgon Business Group CurrentSince Feb 24, 2022 Accepting new patients
Elgon Business Group Inc Current Accepting new patients
Hattie'S Caring Hands Inc. Current Accepting new patients

Organizations & group practices 3

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": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1861153900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14B SEVEN SPRINGS LN",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035123",
            "telephone_number": "781-308-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14B SEVEN SPRINGS LN",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018035123",
            "telephone_number": "781-308-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDDU",
        "first_name": "HARRIET",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN86728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.