Kenya Maisha Kidd, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA60419034 Issued in WA

Practice address

825 Eastlake Ave E
Seattle, WA 98109-4405

Phone

(206) 288-1000

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Kenya Maisha Kearney Former name

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Physician Assistant

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129
• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkidd84276@directinfirmaryhealth.org

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.

• Imc-Diagnostic and Medical Clinic LLC

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1447201066
  Medicare reassignment Care Compare group
• Franklin Primary Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1679532303
  Medicare reassignment NPD
• Franklin Primary Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Evergreen, AL
  • NPI 1346733821
  NPD
• Franklin Primary Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mobile, AL
  • NPI 1043794480
  NPD
• Imc-Diagnostic and Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Saraland, AL
  • NPI 1568235000
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gulf Health Hospitals, Inc

  • Family Medicine Physician
  • Bay Minette, AL
  • NPI 1154703726

  Hospital

  Care Compare affiliation
• Gulf Health Hospitals, Inc.

  • General Acute Care Hospital
  • Bay Minette, AL
  • NPI 1134164924
  Care Compare affiliation
• Gulf Health Hospitals, Inc.

  • Gynecology Physician
  • Bay Minette, AL
  • NPI 1760717870

  Hospital

  Care Compare affiliation
• Mobile Infirmary Association

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1881601045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-543-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 EASTLAKE AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094405",
            "telephone_number": "206-288-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "KENYA",
        "middle_name": "MAISHA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60419034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881601045",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENYA",
            "last_name": "KEARNEY",
            "middle_name": "MAISHA",
            "prefix": "MS.",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hitomi Kidahashi
• Luwam Kidane
• Tsion Kidane, LMFTA
• Anthony Kidd
• Cloid Reiley Kidd, M.D.
• Kidsmarts
• Nathaniel Elias Kidson
• Sarah Mazher Kidwai, M.D.
• Lesli Ann Kiedrowski, MS, MPH, CGC
• Isabelle Maria Kiefaber

• Medical Physician Assistant in Seattle, WA
• Providers in Seattle, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.