Organization Active NPI

Children First Kidmed LLC

Doing business as Children First Kidmed

  • Pediatric Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1285802785
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP01814 Issued in LA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Ownership & 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.

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

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.

Verify at the official NPI Registry.