Redbud Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

REDBUD PEDIATRICS LLC

Practice address

8725 E 32ND St N
Wichita, KS 67226-4008

Phone

(316) 201-1202

Fax

(316) 201-1251

NPI assigned

Oct 27, 2011

Last updated

May 27, 2020By 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

Dr. Rebecca H Reddy, MDNPI 1366416414

Title

Owner

Phone

(316) 201-1202

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 15

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.

• Rebecca H Reddy, MD

  • Pediatrics Physician
  • Wichita, KS
  • NPI 1366416414
  NPD (past) Authorized official
• Melissa Jane Conroy, DO

  • Pediatrics Physician
  • Wichita, KS
  • NPI 1437361979
  NPD
• Amanda Gail Divine, NURSE

  • Pediatric Nurse Practitioner
  • Wichita, KS
  • NPI 1336591049
  NPD
• Katrina N Hinds, PA-C

  • Medical Physician Assistant
  • Wichita, KS
  • NPI 1477517696
  NPD
• Jamie Hannah Woo Page, MD

  • Pediatrics Physician
  • Wichita, KS
  • NPI 1659592582
  NPD
• Giao Pham, MD

  • Pediatrics Physician
  • Wichita, KS
  • NPI 1497074355
  NPD
• Trista Anne Vancuren, MD

  • Pediatrics Physician
  • Wichita, KS
  • NPI 1841814241
  NPD
• Sarah Carlson, MD

  • Pediatrics Physician
  • Wichita, KS
  • NPI 1124549738
  NPD (past)
• Nicolas Lammoglia

  • Pediatrics Physician
  • Wichita, KS
  • NPI 1699342246
  NPD (past)
• Natalie Renee Libordi, APRN

  • Family Nurse Practitioner
  • Marion, KS
  • NPI 1376138412
  NPD (past)
• Venessa Lopez, MD

  • Pediatrics Physician
  • Wichita, KS
  • NPI 1710144654
  NPD (past)
• Brooke Renee Mason, MD

  • Pediatrics Physician
  • Hutchinson, KS
  • NPI 1861613366
  NPD (past)

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1255617833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 E 32ND ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264008",
            "telephone_number": "316-201-1202",
            "fax_number": "316-201-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 E 32ND ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264008",
            "telephone_number": "316-201-1202",
            "fax_number": "316-201-1251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7570 W 21st St N Ste 1006B",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672051773",
            "country_code": "US",
            "telephone_number": "316-201-1202",
            "fax_number": "316-201-1251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REDBUD PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-201-1202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200749070A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Recovery Rocks LLC
• Recovery Services Council Inc.
• Recovery Unlimited KS, Inc.
• Recovery Unlimited KS, Inc.
• Recovery Unlimited, Inc
• Michelle Kay Redden, RPA-C
• Gautham P Reddy, MD
• Mia Padala Reddy
• Pavan S Reddy, M.D.
• Ravali Reddy, MD

• Pediatrics Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.