Active NPI
Evening Pediatrics, Inc
Doing business as Your Kids Urgent Care
- Clinic/Center
- Tampa, FL
National Provider Identifier
1346816550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- EVENING PEDIATRICS, INC
- Doing business as
- Your Kids Urgent Care
- Practice address
- 2550 W MLK Blvd
Tampa, FL 33607-6302 - Phone
- (813) 876-6483
- NPI assigned
- May 28, 2021
- Organization subpart
- Yes
- Parent organization
- EVENING PEDIATRICS, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly McPhail
- Title
- Administrator
- Phone
- (727) 586-6483
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
2550 W MLK Blvd
Tampa, FL 33607-6302
Mailing address
2115 Central Ave
St Petersburg, FL 33713-8815
Phone (727) 526-9135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277728202 | Medicaid | FL |
Other names 1
- Your Kids Urgent Care
National Provider Directory
National Provider Directory- Tax ID family
- Evening Pediatrics Inc
- Part of
- Evening Pediatrics Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
Locations
2550 W Mlk Blvd
Tampa, FL 33607
Phone (813) 871-5437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708992000000",
"number": "1346816550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138815",
"telephone_number": "727-526-9135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 W MLK BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076302",
"telephone_number": "813-876-6483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVENING PEDIATRICS, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EVENING PEDIATRICS, INC",
"enumeration_date": "2021-05-28",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A",
"authorized_official_last_name": "MCPHAIL",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "727-586-6483"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277728202",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Your Kids Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.