Organization Active NPI

Kids Best Nutrition & Health PLLC

  • Clinic/Center
  • Clemmons, NC
National Provider Identifier
1164949210
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5000468 Issued in NC
Legal business name
KIDS BEST NUTRITION & HEALTH PLLC
Practice address
6255 Towncenter Dr Ste 810
Clemmons, NC 27012-9376
Phone
(980) 533-0993
NPI assigned
Aug 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Authorized official

Name
Sandra Lee Jarvis, PNP IBCLC
Title
Organizer/Member
Phone
(980) 533-0993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5000468 NC Primary

Addresses

Primary practice location

6255 Towncenter Dr Ste 810
Clemmons, NC 27012-9376

Mailing address

857 Southwest Dr
Davidson, NC 28036-7909
Phone (980) 533-0993

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1164949210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 SOUTHWEST DR",
            "city": "DAVIDSON",
            "state": "NC",
            "postal_code": "280367909",
            "telephone_number": "980-533-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 TOWNCENTER DR STE 810",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129376",
            "telephone_number": "980-533-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS BEST NUTRITION & HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ORGANIZER/MEMBER",
        "authorized_official_telephone_number": "980-533-0993",
        "authorized_official_credential": "PNP IBCLC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": "5000468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.