Sunshine Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SUNSHINE PEDIATRICS PLLC

Practice address

2004 American Way Ste 207
Kingsport, TN 37660-4672

Phone

(423) 392-6700

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Diana Reinhardt, DONPI 1811188436

Title

Sole Proprietor

Phone

(423) 392-6700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

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

• Diana Reinhardt, D.O.

  • Pediatrics Physician
  • Kingsport, TN
  • NPI 1811188436
  Medicare reassignment NPD Authorized official
• Sindy Camelo, FNP-BC

  • Family Nurse Practitioner
  • Kingsport, TN
  • NPI 1538966056
  Medicare reassignment NPD
• Rodney Watson, MD

  • Pediatrics Physician
  • Kingsport, TN
  • NPI 1841217338
  NPD (past)

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1447094412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 AMERICAN WAY STE 207",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 AMERICAN WAY STE 207",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604672",
            "telephone_number": "423-392-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "REINHARDT",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "423-392-6700",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Days Therapy LLC
• Jeffrey A Summers, MD
• Summit Medical Group PLLC
• Zachary Linuel Sumpter, D.O.
• Sunrise Healthcare Corporation
• Surgical Associates of Kingsport, Inc
• Susan B Creech DDS PLLC
• Jonathan Spencer Suther, M.D.
• Laura Sutherland
• Briana Christine Swanson, AUD

• Pediatrics Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.