Kerrville Pediatrics

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

230898 Issued in TX

Legal business name

KERRVILLE PEDIATRICS

Practice address

1331 Bandera Hwy
Suite 10
Kerrville, TX 78028-9535

Phone

(830) 257-1440

Fax

(830) 257-2542

NPI assigned

Mar 13, 2012

Last updated

Mar 13, 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

Mrs. Connie Lea Whiitng

Title

Practice Manager

Phone

(830) 257-1440

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 8

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.

• Shirley Ann Dixon, PA-C

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1073261574
  NPD (past)
• Teresa W Farley, CPNP

  • Pediatric Nurse Practitioner
  • Kerrville, TX
  • NPI 1659333722
  NPD (past)
• Michael S Fontenot, MD

  • Pediatrics Physician
  • Kerrville, TX
  • NPI 1790786937
  NPD (past)
• Macalah Cortnee Jenschke

  • Pediatric Nurse Practitioner
  • Kerrville, TX
  • NPI 1629787551
  NPD (past)
• J Christopher Meriwether, MD

  • Pediatrics Physician
  • Kerrville, TX
  • NPI 1902805302
  NPD (past)
• Carena Nicole Sears, MSN, APRN, CPNP

  • Pediatric Nurse Practitioner
  • Midland, TX
  • NPI 1427568617
  NPD (past)
• Baileigh Williams, FNP-C

  • Family Nurse Practitioner
  • Fredericksburg, TX
  • NPI 1083378681
  NPD (past)
• Jacquelyn Michelle Pena, M.D

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1255960035
  NPD (past)

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1114292968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 BANDERA HWY",
            "address_2": "SUITE 10",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780289535",
            "telephone_number": "830-257-1440",
            "fax_number": "830-257-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 BANDERA HWY",
            "address_2": "SUITE 10",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780289535",
            "telephone_number": "830-257-1440",
            "fax_number": "830-257-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRVILLE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "WHIITNG",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "830-257-1440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "TX",
            "license": "230898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerrville Nursing and Rehab Center LLC
• Kerrville Operations LLC
• Kerrville Oral & Maxillofacial Surgery, P.a.
• Kerrville Orthodontics, PLLC
• Kerrville Pediatric Dentistry, PLLC (Tots to Teens Pediatric Dentistry)
• Kerrville Physical Therapy Center LLC
• Kerrville Physical Therapy Home Health Services
• Megan Kathleen Kester
• John Caleb Key, MD
• Ashfaq A. Khan, MD

• Pediatric Clinical Nurse Specialist in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Pediatric Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.