Organization Active NPI

Nite Owl Pediatrics, Inc.

  • Clinic/Center
  • Lakeland, FL
National Provider Identifier
1396015863
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NITE OWL PEDIATRICS, INC.
Practice address
3242 S Florida Ave
Lakeland, FL 33803-4574
Phone
(863) 644-7337
NPI assigned
Dec 30, 2011
Organization subpart
Yes
Parent organization
RAYPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Dr. Dorothy Ray
Title
MD
Phone
(863) 644-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3242 S Florida Ave
Lakeland, FL 33803-4574

Mailing address

3242 S Florida Ave
Lakeland, FL 33803-4574
Phone (863) 644-7337

National Provider Directory

National Provider Directory
Part of
Raypar Inc

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1396015863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3242 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034574",
            "telephone_number": "863-644-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3242 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034574",
            "telephone_number": "863-644-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NITE OWL PEDIATRICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAYP",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "863-644-7337",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.