Continuum Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CONTINUUM PEDIATRICS PLLC

Doing business as

Pediatrica of Heritage Trace

Practice address

9509 N Beach St Ste 102
Fort Worth, TX 76244-6399

Phone

(817) 617-8600

Fax

(877) 906-1852

NPI assigned

Dec 5, 2024

Organization subpart

No

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

Authorized official

Name

Kathryn K Mandal, MDNPI 1134294796

Title

Owner

Phone

(817) 617-8600

Specialties & licenses 1

Addresses

Other names 1

• Pediatrica of Heritage Trace Doing business as

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

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Koheli Mandal, M.D.

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1134294796
  NPD (past) Authorized official
• Andrea Cunningham, APRN-CNP

  • Nurse Practitioner
  • Fort Worth, TX
  • NPI 1548094063
  NPD (past)
• Mona Eltiar, APRN, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1518414341
  NPD (past)
• Cynthia Giovannetti, MD

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1285297150
  NPD (past)
• Krystyna Wesp, D.O.

  • Pediatrics Physician
  • Fort Worth, TX
  • NPI 1497103089
  NPD (past)

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1255147120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223593",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752223593",
            "telephone_number": "817-617-8600",
            "fax_number": "877-906-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9509 N BEACH ST STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446399",
            "telephone_number": "817-617-8600",
            "fax_number": "877-906-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTINUUM PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "MANDAL",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-617-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrica of Heritage Trace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.