Active NPI
Kids Best Nutrition & Health PLLC
- Clinic/Center
- Clemmons, NC
National Provider Identifier
1164949210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 5000468
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.