NPIMap

Organization Active NPI

All About Kids Pediatrics, Inc

  • Primary Care Clinic/Center
  • Palm City, FL
National Provider Identifier
1518147347
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME69055 Issued in FL
Legal business name
ALL ABOUT KIDS PEDIATRICS, INC
Practice address
3573 SW Corporate Pkwy
Palm City, FL 34990
Phone
(772) 283-5431
Fax
(772) 283-5471
NPI assigned
Nov 8, 2007
Last updated
Jan 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Kristen V Walker, MDNPI 1639187859
Title
President
Phone
(772) 283-5431

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
Primary Care Clinic/Center 261QP2300X ME69055 FL Primary

Addresses

Primary practice location

3573 SW Corporate Pkwy
Palm City, FL 34990

Mailing address

3573 SW Corporate Pkwy
Palm City, FL 34990
Phone (772) 283-5431

Other identifiers 2

IdentifierTypeStateIssuer
27967OtherFLBCBS
378946200MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1079744All About Kids Pediatrics3573 Corporate Pkwy, Palm City, FL 34990Certificate of waiverFeb 5, 2028

National Provider Directory

National Provider Directory

Locations

3573 SW Corporate Pkwy
Palm City, FL 34990
Phone (772) 283-5431

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1518147347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3573 SW CORPORATE PKWY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "34990",
            "telephone_number": "772-283-5431",
            "fax_number": "772-283-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3573 SW CORPORATE PKWY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "34990",
            "telephone_number": "772-283-5431",
            "fax_number": "772-283-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT KIDS PEDIATRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-283-5431",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME69055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27967",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378946200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.