Kids First Pediatrics of Raeford, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

200601348 Issued in NC

Legal business name

KIDS FIRST PEDIATRICS OF RAEFORD, PC

Practice address

4005 Fayetteville Rd
Raeford, NC 28376-8058

Phone

(910) 848-5437

Fax

(910) 848-5439

NPI assigned

Nov 1, 2010

Last updated

Oct 15, 2018By 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

Mrs. Leamor De Leon Buenaseda, M.D.NPI 1609945997

Title

Owner

Phone

(910) 848-5437

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 10

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.

• Leamor De Leon Buenaseda, M.D.

  • Pediatrics Physician
  • Raeford, NC
  • NPI 1609945997
  NPD (past) Authorized official
• Christine Elizabeth Arnold-Recca, CPNP-PC

  • Pediatric Nurse Practitioner
  • Fayetteville, NC
  • NPI 1003588989
  NPD (past)
• Jose Ornum Buenaseda, MD

  • Pediatrics Physician
  • Raeford, NC
  • NPI 1639248925
  NPD (past)
• Beverly A De la Rosa

  • Pediatric Nurse Practitioner
  • Raeford, NC
  • NPI 1134805674
  NPD (past)
• Sarah Ashley Lewis

  • Physician Assistant
  • Raeford, NC
  • NPI 1326653353
  NPD (past)
• Ashley Rhea Monroe, PA-C

  • Physician Assistant
  • Forest City, NC
  • NPI 1780310599
  NPD (past)
• Rachelle Lynn Olson

  • Family Nurse Practitioner
  • Cameron, NC
  • NPI 1790375996
  NPD (past)
• Melanie Ann Pitts, NP-C

  • Family Nurse Practitioner
  • Raeford, NC
  • NPI 1245567007
  NPD (past)
• Sreelekha Sashidhar, M.D.

  • Pediatrics Physician
  • Fayetteville, NC
  • NPI 1477568996
  NPD (past)
• Danielle Trigg, CPNP

  • Pediatric Nurse Practitioner
  • Raeford, NC
  • NPI 1790246353
  NPD (past)

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1235439613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 FAYETTEVILLE RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283768058",
            "telephone_number": "910-848-5437",
            "fax_number": "910-848-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 FAYETTEVILLE RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283768058",
            "telephone_number": "910-848-5437",
            "fax_number": "910-848-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 Valleygate Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043571",
            "country_code": "US",
            "telephone_number": "910-677-0007",
            "fax_number": "910-677-0038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6415 Brookstone Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283140075",
            "country_code": "US",
            "telephone_number": "910-306-5437",
            "fax_number": "910-829-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDS FIRST PEDIATRICS OF RAEFORD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "BUENASEDA",
        "authorized_official_first_name": "LEAMOR",
        "authorized_official_middle_name": "DE LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-848-5437",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200601348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5922034",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Leah Keeler, CFTS
• Catherine Kelly, DO
• Jabreya Kersey
• Iqbal M Khan, M.D.
• Latifa Khoubach
• Kids Imagination Play Station
• Catherine Hong Kim, NP-C
• Suzanne Teresa Kim
• Ashley Marika Moneek King
• Princess Alice King, MA.,CNA

• Pediatrics Physician in Raeford, NC
• Providers in Raeford, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.