Healthy Kids Pediatrics

Primary specialty

SpecialistTaxonomy code 174400000X

License

J6315 Issued in TX

Legal business name

HEALTHY KIDS PEDIATRICS

Practice address

4851 Legacy Dr
Suite 601
Frisco, TX 75034-0816

Phone

(972) 294-0808

Fax

(972) 294-0809

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Z. Bain, M.D.NPI 1083700314

Title

Owner

Phone

(972) 294-0808

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Deborah Zebold Bain, M.D.

  • Pediatrics Physician
  • Frisco, TX
  • NPI 1083700314
  NPD (past) Authorized official
• Jannetta McKinley, CPNP-PC

  • Pediatric Nurse Practitioner
  • Frisco, TX
  • NPI 1205600822
  NPD (past)
• Shanae Skillern, CNP, PNP-PC

  • Pediatric Nurse Practitioner
  • Frisco, TX
  • NPI 1184575854
  NPD (past)
• Rachel Elizabeth Wallace, APRN, FNP-C

  • Family Nurse Practitioner
  • Frisco, TX
  • NPI 1881422475
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144424995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 LEGACY DR",
            "address_2": "SUITE 601",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340816",
            "telephone_number": "972-294-0808",
            "fax_number": "972-294-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 LEGACY DR",
            "address_2": "SUITE 601",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340816",
            "telephone_number": "972-294-0808",
            "fax_number": "972-294-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY KIDS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-294-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J6315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BAIN'S INDIVIDUAL NPI",
            "identifier": "1083700314",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Heart Smart Group
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• Robi Leah Heath, LPC
• Heather Renae Hebert, MA, LMFT-A

• Specialist in Frisco, TX
• Providers in Frisco, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.