Pediatric Health Partners PLLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

558572 Issued in TX

Legal business name

PEDIATRIC HEALTH PARTNERS PLLC

Practice address

4305 Windsor Centre TRL
Suite 300
Flower Mound, TX 75028-1864

Phone

(214) 392-3070

NPI assigned

Jul 27, 2012

Last updated

Jul 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Bookout, DNPNPI 1932208709

Title

Owner

Phone

(214) 392-3070

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly R Bookout, DNP, RN, CPNP

  • Pediatric Nurse Practitioner
  • Flower Mound, TX
  • NPI 1932208709

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1023364049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 WINDSOR CENTRE TRL",
            "address_2": "SUITE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281864",
            "telephone_number": "214-392-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 WINDSOR CENTRE TRL",
            "address_2": "SUITE 300",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281864",
            "telephone_number": "214-392-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEALTH PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "BOOKOUT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-392-3070",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "558572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Pearch, DO
• Katheryn Nicole Pearson, M.ED,LPC-A
• Kevin M Pederson, D.C.
• Pediatric & Family Physicians PA
• Pediatric Dentistry of Flower Mound (Debra C. Duffy DDS PA)
• Pediatric Physicians, PA
• Jordan Penn
• Jessica Pennington, LPC ASSOCIATE
• Chelsea Perez, MS, LMFT-A
• Isaac Perez, M.D.

• Pediatric Nurse Practitioner in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.