NPIMap

Organization Active NPI

Nuestros Ninos Our Kids Pediatrics PC

Doing business as Nuestros Ninos Y la Familia

  • Pediatric Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1336457597
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
NUESTROS NINOS OUR KIDS PEDIATRICS PC
Doing business as
Nuestros Ninos Y la Familia
Practice address
275 Carpenter Dr NE
Suite 201
Atlanta, GA 30328-4928
Phone
(770) 732-6007
Fax
(770) 732-8242
NPI assigned
Sep 21, 2010
Last updated
Sep 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Mary E. Cahill-Roberts, CPNP
Title
Owner/Head Nurse Practitioner
Phone
(770) 732-6007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NU Primary

Addresses

Primary practice location

275 Carpenter Dr NE
Suite 201
Atlanta, GA 30328-4928

Mailing address

393 Maxham Rd
Ste. a&B
Austell, GA 30168-5539
Phone (770) 732-6007

Other names 1

  • NUESTROS NINOS Y LA FAMILIA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nuestros Ninos Our Kids Pediatrics Inc3 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.

Locations

393 Maxham Rd
Ste Ab
Austell, GA 30168
Phone (770) 732-6007

275 Carpenter Dr
Ste 201
Sandy Springs, GA 30328
Phone (770) 732-6007

Practitioners & affiliated clinicians

Practitioners 3

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": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1336457597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 MAXHAM RD",
            "address_2": "STE. A&B",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301685539",
            "telephone_number": "770-732-6007",
            "fax_number": "770-732-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CARPENTER DR NE",
            "address_2": "SUITE 201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284928",
            "telephone_number": "770-732-6007",
            "fax_number": "770-732-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUESTROS NINOS OUR KIDS PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "CAHILL-ROBERTS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/HEAD NURSE PRACTITIONER",
        "authorized_official_telephone_number": "770-732-6007",
        "authorized_official_credential": "CPNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NUESTROS NINOS Y LA FAMILIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.