Active NPI
Children First Kidmed LLC
Doing business as Children First Kidmed
- Pediatric Nurse Practitioner
- Hammond, LA
National Provider Identifier
1285802785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP01814
- Legal business name
- CHILDREN FIRST KIDMED LLC
- Doing business as
- Children First Kidmed
- Practice address
- 1828 W Thomas St
Hammond, LA 70401-2958 - Phone
- (985) 419-2250
- Fax
- (985) 419-2252
- NPI assigned
- Feb 19, 2008
- Last updated
- Feb 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pat Randolph Lee, NP
- Title
- Ped Nurse Practitioner
- Phone
- (985) 419-2250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP01814 | LA | Primary |
Addresses
Primary practice location
1828 W Thomas St
Hammond, LA 70401-2958
Mailing address
1828 W Thomas St
Hammond, LA 70401-2958
Phone (985) 419-2250
Other names 1
- Children First Kidmed
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Albany Health Care Clinic
- Adult Health Nurse Practitioner
- Albany, LA
- NPI 1992888036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1285802785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1828 W THOMAS ST",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704012958",
"telephone_number": "985-419-2250",
"fax_number": "985-419-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1828 W THOMAS ST",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704012958",
"telephone_number": "985-419-2250",
"fax_number": "985-419-2252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN FIRST KIDMED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-19",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "PAT",
"authorized_official_middle_name": "RANDOLPH",
"authorized_official_title_or_position": "PED NURSE PRACTITIONER",
"authorized_official_telephone_number": "985-419-2250",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "AP01814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Children First Kidmed",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hammond, LA
- Te'Lacia Cherry
- Jason Chiang
- William Chiang, MD
- Ashleigh Marie Chiasson
- Brett Joseph Chiasson, M.D.
- Children's International, LLC (Children's International Medical Group)
- Children's International, LLC
- Dong Sik Cho, MD
- Choices Behavior Health and Wellness, LLC
- Choices Coordinated Care Solutions, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.