Lights Out Pediatrics LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

LIGHTS OUT PEDIATRICS LLC

Practice address

3383 Mariner Blvd
Spring Hill, FL 34609-2461

Phone

(352) 678-3100

Fax

(352) 678-3730

NPI assigned

Jun 27, 2011

Organization subpart

No

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

Authorized official

Name

Heather Ann Riddle, ARNP

Title

President/Owner

Phone

(352) 678-3100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1134415227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3383 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092461",
            "telephone_number": "352-678-3100",
            "fax_number": "352-678-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3383 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092461",
            "telephone_number": "352-678-3100",
            "fax_number": "352-678-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTS OUT PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "352-678-3100",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Urgent Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.