Idonna Kirkland, MSED

Primary specialty

SpecialistTaxonomy code 174400000X

License

536702111 Issued in NY

Practice address

100 De Kruif PL
Apt 18C
Bronx, NY 10475-2402

Phone

(917) 405-1589

NPI assigned

Aug 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Idonna Mangual Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679184000000",
    "number": "1861749517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DEBS PL APT 19A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104752532",
            "telephone_number": "917-405-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DE KRUIF PL",
            "address_2": "APT 18C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104752402",
            "telephone_number": "917-405-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "IDONNA",
        "name_prefix": "Ms.",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2023-03-19",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "536702111",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1367699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IDONNA",
            "last_name": "MANGUAL",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anna Kireeva, LMSW
• Kiren Gehani DDS P.C.
• Ajay Narendra Kiri, M.D.
• Elen Kirilovski, DMD
• Elizabeth Ann Kirkham, M.D.
• Martha Denise Kirkland, M.S.ED
• Carson Thomas Kirkpatrick, MD
• Lorrena Kirkwood
• Dawnette M Kirlew, RN
• Sertac Kirnaz, MD

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

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

Verify at the official NPI Registry.