Latwanshree Queen Kidd

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

21 W Owens Ave
North Las Vegas, NV 89030-6817

Phone

(323) 817-8558

NPI assigned

Oct 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1992100564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W OWENS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306817",
            "telephone_number": "323-817-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W OWENS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306817",
            "telephone_number": "323-817-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "LATWANSHREE",
        "middle_name": "QUEEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danish Farzad Khattak, PHARMD
• Maria Shaukat Khera
• Cuong Khong, PHARMD
• Sheena Lavette Kicklighter, FNP-BC
• Elizabeth Kidd
• Matthew Kikuchi
• Robert M Kile, MD
• Kim Happy Dental DMD PLLC
• Daniel H Kim, DO
• David C Kim, PHARMD

• Rehabilitation Practitioner in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.