Nitelite Pediatric Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

200101445 Issued in NC

Legal business name

NITELITE PEDIATRIC URGENT CARE

Practice address

1519B E Booker Dairy Rd
Smithfield, NC 27577-9472

Phone

(919) 938-2144

Fax

(919) 938-2944

NPI assigned

Nov 18, 2013

Organization subpart

Yes

Parent organization

SUNSHINE PEDIATRICSAs reported in NPPES

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

Authorized official

Name

Kimberly D. Fox, MDNPI 1093809782

Title

Owner

Phone

(919) 938-2144

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Sunshine Pediatrics PA2 organizations share this tax ID, including this one

Part of

Sunshine Pediatrics PA

Other organizations with this tax ID 1

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

• Sunshine Pediatrics, PA

  • Pediatrics Physician
  • Smithfield, NC
  • NPI 1093096141
  NPD tax ID

Locations

Practitioners 1

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.

• Kimberly D Fox, M.D.

  • Pediatrics Physician
  • Smithfield, NC
  • NPI 1093809782
  Authorized official Same address or phone

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1285064972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519B E BOOKER DAIRY RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779472",
            "telephone_number": "919-938-2144",
            "fax_number": "919-938-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519B E BOOKER DAIRY RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779472",
            "telephone_number": "919-938-2144",
            "fax_number": "919-938-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITELITE PEDIATRIC URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNSHINE PEDIATRICS",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-938-2144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NC",
            "license": "200101445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891313G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Directions Home Health Care (New Directions Community Services)
• New Directions Home Health Care (New Directions Community Services)
• New Perspective Solutions LLC
• Amber M Newcomb, RN, IBCLC
• Patricia Renee Nichols, PTA
• Nitelite Pediatric Urgent Care, PA
• Ashley Green Nordan, PA
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #07580)
• North Carolina Nephrology PA
• Bliss Davis Norville, FNP

• Urgent Care Clinic/Center in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Urgent Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.