NPIMap

Organization Active NPI

Foundation for Positively Kids

Doing business as Positively Kids

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1386705580
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FOUNDATION FOR POSITIVELY KIDS
Doing business as
Positively Kids
Practice address
4375 Las Vegas Blvd N Ste 10
Las Vegas, NV 89115-0587
Phone
(702) 262-0037
Fax
(702) 272-2421
NPI assigned
Dec 12, 2006
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Mrs. Jeanette Smith
Title
Finance Director
Phone
(702) 262-0037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

4375 Las Vegas Blvd N Ste 10
Las Vegas, NV 89115-0587

Mailing address

4375 Las Vegas Blvd N Ste 10
Las Vegas, NV 89115-0587
Phone (702) 262-0037

Other identifiers 1

IdentifierTypeStateIssuer
100503219MedicaidNV

Other names 1

  • Positively Kids Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Foundation for Positively Kids8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

4375 Las Vegas Blvd N
Ste 10
Las Vegas, NV 89115
Phone (702) 262-0037

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1386705580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 LAS VEGAS BLVD N STE 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891150587",
            "telephone_number": "702-262-0037",
            "fax_number": "702-272-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 LAS VEGAS BLVD N STE 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891150587",
            "telephone_number": "702-262-0037",
            "fax_number": "702-272-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FOR POSITIVELY KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "702-262-0037",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503219",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positively Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.