Active NPI
Basin Pediatrics, LLC
Doing business as Basin Pediatrics
- Pediatrics Physician
- Midland, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- BASIN PEDIATRICS, LLC
- Doing business as
- Basin Pediatrics
- Practice address
- 4410 N Midkiff Rd Ste D4
Midland, TX 79705-4249 - Phone
- (432) 557-6350
- NPI assigned
- Jan 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jessica Nicole Salas, C.P.N.P.
- Title
- Provider/Owner
- Phone
- (432) 218-8899
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
4410 N Midkiff Rd Ste D4
Midland, TX 79705-4249
Mailing address
2013 Mosswood Dr
Midland, TX 79707-5078
Phone (432) 557-6350
Other names 1
- BASIN PEDIATRICS
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2279277 | Basin Pediatrics LLC | Certificate of waiver | Mar 30, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Pediatric Nurse Practitioner
- Midland, TX
- NPI 1306198270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691625600000",
"number": "1033825203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2013 MOSSWOOD DR",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797075078",
"telephone_number": "432-557-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 N MIDKIFF RD STE D4",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797054249",
"telephone_number": "432-557-6350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BASIN PEDIATRICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-30",
"last_updated": "2023-08-10",
"certification_date": "2023-01-30",
"status": "A",
"authorized_official_last_name": "SALAS",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "432-218-8899",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "C.P.N.P."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BASIN PEDIATRICS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BASIN PEDIATRICS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.