Active NPI
Grow Pediatrics and Adolescent Medicine PLLC
- Pediatrics Physician
- Austin, TX
National Provider Identifier
1154730729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- GROW PEDIATRICS AND ADOLESCENT MEDICINE PLLC
- Practice address
- 1401 Philomena St Ste 120
Austin, TX 78723-3574 - Phone
- (512) 467-7334
- Fax
- (512) 467-7335
- NPI assigned
- Aug 8, 2014
- 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
- Emily Arreaza
- Title
- Practice Administrator
- Phone
- (512) 467-7334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1401 Philomena St Ste 120
Austin, TX 78723-3574
Mailing address
1401 Philomena St Ste 120
Austin, TX 78723-3574
Phone (512) 467-7334
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 |
|---|---|---|---|
| 45D2078526 | Grow Pediatrics and Adolescent Medicine | Certificate of waiver | May 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
1401 Philomena St
Ste 120
Austin, TX 78723
Phone (512) 467-7334
1600 W 38th St
Ste 105
Austin, TX 78731
Phone (512) 454-2744
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Austin, TX
- NPI 1225779754
-
- Pediatrics Physician
- Austin, TX
- NPI 1457914095
-
- Pediatrics Physician
- Austin, TX
- NPI 1558446013
-
- Pediatrics Physician
- Austin, TX
- NPI 1346879806
-
- Pediatrics Physician
- Austin, TX
- NPI 1538173802
-
- Pediatrics Physician
- Austin, TX
- NPI 1407861578
-
- Pediatric Nurse Practitioner
- Cedar Park, TX
- NPI 1306220181
-
- Pediatrics Physician
- Austin, TX
- NPI 1922428853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700870400000",
"number": "1154730729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 PHILOMENA ST STE 120",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233574",
"telephone_number": "512-467-7334",
"fax_number": "512-467-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 PHILOMENA ST STE 120",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233574",
"telephone_number": "512-467-7334",
"fax_number": "512-467-7335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROW PEDIATRICS AND ADOLESCENT MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-08",
"last_updated": "2023-11-25",
"certification_date": "2023-11-25",
"status": "A",
"authorized_official_last_name": "ARREAZA",
"authorized_official_first_name": "EMILY",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "512-467-7334"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.