Kidz & Family Medicine Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KIDZ & FAMILY MEDICINE INC.

Practice address

860 Hebron Pkwy Ste 1202
Lewisville, TX 75057-5146

Phone

(214) 488-0071

NPI assigned

Apr 19, 2022

Last updated

Jul 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raji Anup, FNPNPI 1083905616

Title

Provider

Phone

(214) 405-4882

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raji Anup, NP

  • Family Nurse Practitioner
  • Lewisville, TX
  • NPI 1083905616
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1184367880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY STE 1202",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575146",
            "telephone_number": "214-488-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY STE 1202",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575146",
            "telephone_number": "214-488-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ & FAMILY MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-07-07",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "ANUP",
        "authorized_official_first_name": "RAJI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "214-405-4882",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Khan LTCH Holdings LLC
• Jalil Aziz Khan, M.D.
• Berningeh F Kigham, PHARM D
• Joseph Richard Kilianski III, M.D.
• Bumm Kim, DC
• Christa Yong Eun Kim, OD
• Eun Myung Kim, MS, RDN, LD

• Family Nurse Practitioner in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.