NPIMap

Organization Active NPI

Evening Pediatrics, Inc

Doing business as Your Kids Urgent Care

  • Clinic/Center
  • Largo, FL
National Provider Identifier
1275109480
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EVENING PEDIATRICS, INC
Doing business as
Your Kids Urgent Care
Practice address
12190 Seminole Blvd
Largo, FL 33778-2833
Phone
(727) 586-6483
NPI assigned
May 28, 2021
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
EVENING PEDIATRICS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Kelly McPhail
Title
Administrator
Phone
(727) 586-6483

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU
Clinic/Center 261Q00000X NU Primary
Urgent Care Clinic/Center 261QU0200X NU

Addresses

Primary practice location

12190 Seminole Blvd
Largo, FL 33778-2833

Mailing address

2115 Central Ave
St Petersburg, FL 33713-8815
Phone (727) 526-9135

Other identifiers 1

IdentifierTypeStateIssuer
277728204MedicaidFL

Other names 1

  • Your Kids Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Evening Pediatrics Inc6 organizations share this tax ID, including this one
Part of
Evening Pediatrics Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12190 Seminole Blvd
Largo, FL 33778
Phone (727) 586-6483

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1275109480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138815",
            "telephone_number": "727-526-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12190 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337782833",
            "telephone_number": "727-586-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENING PEDIATRICS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVENING PEDIATRICS, INC",
        "enumeration_date": "2021-05-28",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "MCPHAIL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-586-6483"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277728204",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Kids Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.