NPIMap

Organization Active NPI

Kids First Pediatric Care, PA

  • Primary Care Clinic/Center
  • Valrico, FL
National Provider Identifier
1295044048
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME 85173 Issued in FL
Legal business name
KIDS FIRST PEDIATRIC CARE, PA
Practice address
4343 Lynx Paw TRL
Valrico, FL 33596-7426
Phone
(813) 681-3800
Fax
(813) 681-3883
NPI assigned
Sep 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Toni Alexis Richards-Rowley, M.D.
Title
President
Phone
(813) 681-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME 85173 FL Primary

Addresses

Primary practice location

4343 Lynx Paw TRL
Valrico, FL 33596-7426

Mailing address

4343 Lynx Paw TRL
Valrico, FL 33596-7426
Phone (813) 681-3800

Other identifiers 1

IdentifierTypeStateIssuer
ME 85173MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Kids First3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1295044048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 LYNX PAW TRL",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967426",
            "telephone_number": "813-681-3800",
            "fax_number": "813-681-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 LYNX PAW TRL",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967426",
            "telephone_number": "813-681-3800",
            "fax_number": "813-681-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FIRST PEDIATRIC CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "RICHARDS-ROWLEY",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-681-3800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME 85173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ME 85173",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.