Craig Matthew Kidder I, MSHSA, ANP-C, RHIA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08726 Issued in LA

Practice address

1302 Ed Broussard
New Iberia, LA 70563-7056

Phone

(337) 229-7929

NPI assigned

Jul 1, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care on the Go Dot ComGroup PAC ID 5496276313, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Acadia St Landry Hospital, Church Point, LA, CCN 191319

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Urgent Care on the Go Dot Com

  • Urgent Care Clinic/Center
  • Opelousas, LA
  • NPI 1558955484
  Medicare reassignment Care Compare group NPD

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

• Acadia-St. Landry Hospital Service District

  • Critical Access Hospital
  • Church Point, LA
  • NPI 1376540153
  Care Compare affiliation

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1891147849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DON GUILBEAU RD",
            "city": "ARNAUDVILLE",
            "state": "LA",
            "postal_code": "705126440",
            "telephone_number": "337-351-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 ED BROUSSARD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705637056",
            "telephone_number": "337-229-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDDER",
        "first_name": "CRAIG",
        "middle_name": "MATTHEW",
        "name_suffix": "I",
        "credential": "MSHSA, ANP-C, RHIA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-01",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth a, Ritter Jr. M.D., Apc
• Keys for Sober Living
• Keys for Sober Living, LLC
• Matthew Tyler Khosropour
• Nanette Derouen Kibbe, MS SPEECH PATHOLOGY
• Dwayne Kincade, DDS
• Brunette Marie King, MD
• Amanda Kipp
• Kismet Divine Healthcare Services
• Moses Mwesigwa Kitakule, MD

• Family Nurse Practitioner in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.