Lets Grow Kids Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LETS GROW KIDS CLINIC

Practice address

2010 Gilmer Rd Ste 103B
Longview, TX 75604-2545

Phone

(903) 309-5689

NPI assigned

Nov 7, 2024

Organization subpart

No

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

Authorized official

Name

Tori Johnston, FNP-CNPI 1952947350

Title

Owner

Phone

(903) 309-5689

Specialties & licenses 1

Addresses

Other names 1

• none Former legal business name

Locations

Practitioners 1

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

• Tori Johnston, FNP-C

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1952947350
  NPD Authorized official

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1124841085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 GILMER RD STE 103B",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042545",
            "telephone_number": "903-309-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 GILMER RD STE 103B",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042545",
            "telephone_number": "903-309-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETS GROW KIDS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "TORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-309-5689",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Molly Lopez Lemaire
• Lanie Lenhart, MS, CCC-SLP
• Amanda Lester, LCSW
• Sammantha Lestig, LMT, CPEP
• Letourneau University
• Amy Lett
• Jonathan Leung
• Lewis a Browne MD PA
• Lewis Chiropractic Clinic
• Amy Lewis, FNP-C

• Pediatrics Physician in Longview, TX
• Providers in Longview, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.