Shunjiro Clifford Kida

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

CF7440 Issued in NM

Practice address

901 Avenida de Las Campanas
Santa Fe, NM 87507-5369

Phone

(505) 467-1800

NPI assigned

Aug 23, 2021

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

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": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1982371597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 MANN ST APT 2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053433",
            "telephone_number": "802-338-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 AVENIDA DE LAS CAMPANAS",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875075369",
            "telephone_number": "505-467-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4851 Paseo Del Sol",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875073027",
            "country_code": "US",
            "telephone_number": "505-467-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDA",
        "first_name": "SHUNJIRO",
        "middle_name": "CLIFFORD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "CF7440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manjit K Khalsa, PMHC
• Sat Kartar Khalsa
• Sat Kartar Kartar Khalsa, BSN, RN
• Seva K Khalsa, L.M., CPM
• Abbas Khoshdel, M.D.
• Danusia Kidane, OTR
• Donna Kidby, D.D.S.
• Ericka Kidd
• Sandra Kiersky, PH.D.
• Cora Elizabeth Kilgo, LAMFT

• Speech-Language Pathologist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.