Kids Are Great Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0022379 Issued in CO

Legal business name

KIDS ARE GREAT PEDIATRICS

Practice address

320 E Fontanero St
Suite 308
Colorado Springs, CO 80907-7529

Phone

(719) 577-4200

Fax

(719) 442-6595

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

Melanie Andress

Title

Practice Manager

Phone

(719) 577-4200

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

A Glenn Shoptaugh MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• A Glenn Shoptaugh MD PC

  • Pediatrics Physician
  • Colorado Springs, CO
  • NPI 1285877183
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina Marie Lytle, FNP

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1255912788
  NPD (past)
• Jenna Prast, NP

  • Family Nurse Practitioner
  • Pueblo, CO
  • NPI 1942808324
  NPD (past)

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1013465327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E FONTANERO ST",
            "address_2": "SUITE 308",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077529",
            "telephone_number": "719-577-4200",
            "fax_number": "719-442-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E FONTANERO ST",
            "address_2": "SUITE 308",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077529",
            "telephone_number": "719-577-4200",
            "fax_number": "719-442-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS ARE GREAT PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "ANDRESS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "719-577-4200"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "0022379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66353785",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Kibet, DNP APRNRXN PMHNP-BC
• Aaron O'Neil Kibler, CRNA
• Justin L Kidd, PA
• Martha Jane Kidd, PH.D.
• Steven Ogden Kidd, PH.D.
• Kids Crossing
• Kids Crossing
• Kids Crossing
• Kids Crossing
• Kids Crossing

• Primary Care Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.