Organization Active NPI

Kids and Tummies LLC

  • Pediatric Gastroenterology Physician
  • Gulfport, MS
National Provider Identifier
1346779824
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
Legal business name
KIDS AND TUMMIES LLC
Practice address
401 Cowan Rd Ste B
Gulfport, MS 39507-2022
Phone
(228) 222-4072
Fax
(222) 215-1205
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
April Ulmer, MDNPI 1053486860
Title
Owner
Phone
(228) 222-4072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0206X Primary

Addresses

Primary practice location

401 Cowan Rd Ste B
Gulfport, MS 39507-2022

Mailing address

401 Cowan Rd Ste B
Gulfport, MS 39507-2022
Phone (228) 222-4072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170815003081 MS Part B Supplier - Clinic/Group Practice 3870865561 Receives reassigned benefits from 3 practitioners
Practice locations: Ocean Springs, MS; Gulfport, MS

National Provider Directory

National Provider Directory

Locations

401 Cowan Rd
Gulfport, MS 39507

4105 Hospital St
Ste 104
Pascagoula, MS 39581
Phone (228) 696-9224

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346779824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COWAN RD STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072022",
            "telephone_number": "228-222-4072",
            "fax_number": "222-215-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COWAN RD STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072022",
            "telephone_number": "228-222-4072",
            "fax_number": "222-215-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS AND TUMMIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ULMER",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-222-4072",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.