ALEXA NICHOLE KIDMAN
NPI 1760133300
Counselor - Mental Health in Fair Oaks, CA

Q: What is Alexa Kidman's NPI number?

The NPI number for Alexa Kidman is 1760133300. It was assigned to this individual provider in the NPPES registry on January 14, 2022.

Q: What is Alexa Kidman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Alexa Kidman was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 14, 2022

4125 TEMESCAL ST, FAIR OAKS, CA 95628(916) 877-6894 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alexa Nichole Kidman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXA NICHOLE KIDMAN (NPI 1760133300) is an individual mental health provider in Fair Oaks, California, licensed in California (106466) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1760133300

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameALEXA NICHOLE KIDMAN

Location Address4125 TEMESCAL STFair Oaks, CA 95628-7558

Mailing Address5716 Folsom Blvd # 276Sacramento, CA 95819-4608 · (801) 649-9632

Phone(916) 877-6894

Sole ProprietorNo

Enumeration DateJanuary 14, 2022

NPPES CertifiedJanuary 14, 2022

✔ NPI 1760133300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · 106466

4125 TEMESCAL ST, Fair Oaks, CA 95628

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JUDITH DEE FIELDS

Dietitian, Registered

4125 TEMESCAL ST, STE J
FAIR OAKS, CA 95628

Sacramento County (916) 965-4012

SHEYONNA BENNETT

Counselor

4125 TEMESCAL ST
FAIR OAKS, CA 95628

Sacramento County (916) 877-6894

ANDREA NOELLE DIEMERT LMFT, LAADC, ICAADC

Counselor (Professional)

4125 TEMESCAL ST
FAIR OAKS, CA 95628

Sacramento County (562) 206-5444

FLIN SADE OSHUN

Social Worker (Clinical)

4125 TEMESCAL ST
FAIR OAKS, CA 95628

Sacramento County (916) 439-8211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexa Kidman's NPI number?

The NPI number for Alexa Kidman is 1760133300. It was assigned to this individual provider in the NPPES registry on January 14, 2022.

Where is Alexa Kidman located?

Alexa Kidman practices at 4125 Temescal St, Fair Oaks, CA 95628. The listed phone number is (916) 877-6894.

What is Alexa Kidman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Alexa Kidman was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.