Purposeful Pediatrics, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

PURPOSEFUL PEDIATRICS, PLLC

Practice address

2509A Lewisville Clemmons Rd # 1004
Clemmons, NC 27012-8712

Phone

(336) 608-7411

NPI assigned

Aug 3, 2023

Last updated

Jan 12, 2024By 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

Katina Dena' Little, PNPNPI 1285876714

Title

Owner

Phone

(336) 608-7411

Specialties & licenses 1

Addresses

Other identifiers 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.

• Katina Dena' Little, CPNP

  • Nurse Practitioner
  • Clemmons, NC
  • NPI 1285876714
  NPD Authorized official

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1225710866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 HOLLINSWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036245",
            "telephone_number": "336-608-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509A LEWISVILLE CLEMMONS RD # 1004",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128712",
            "telephone_number": "336-608-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSEFUL PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "KATINA",
        "authorized_official_middle_name": "DENA'",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-608-7411",
        "authorized_official_credential": "PNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285876714",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Joy Prozeralik, AUD
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• Samantha Puckett, OTR/L
• Vanessa Ann Quentin
• Maria Rakintzaki
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• Kareem Deandre' Redmond, D.D.S.
• Carly Anne Peeler Regan, NP-C

• Nurse Practitioner in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.

Verify at the official NPI Registry.