Peds Tots to Teens LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDS TOTS TO TEENS LLC

Practice address

1180 Mall Dr
Las Cruces, NM 88011-8101

Phone

(575) 259-3785

Fax

(575) 532-9221

NPI assigned

May 11, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Usha Phillips, MDNPI 1306938295

Title

Owner

Phone

(575) 259-3785

Specialties & licenses 2

Addresses

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.

• Usha K Phillips, MD

  • Pediatrics Physician
  • Las Cruces, NM
  • NPI 1306938295
  NPD (past) Authorized official

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1245920396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 MALL DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118101",
            "telephone_number": "575-259-3785",
            "fax_number": "575-532-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 MALL DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118101",
            "telephone_number": "575-259-3785",
            "fax_number": "575-532-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDS TOTS TO TEENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-259-3785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaya Bharathi Peddi, M.D.
• Pediatric Behavioral Medicine, Inc
• Pediatric Dental Specialist of New Mexico LLC
• Elizabeth Pedraza
• Priscilla Pedraza, FNP-C
• Talia Y Peiffer-Lapid, MA, CCC-SLP
• Camille Pellegrino
• Cameron Pelletier, DPT
• Christina Peltrop
• Darcy Pena, CSFA, CST

• Pediatrics Physician in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.