Active NPI
Nest Pediatric Therapy
- Multi-Specialty Clinic/Center
- Madison, AL
National Provider Identifier
1558017343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- NEST PEDIATRIC THERAPY
- Practice address
- 385 Gooch LN
Madison, AL 35758-8366 - Phone
- (318) 450-7268
- NPI assigned
- Mar 1, 2022
- Last updated
- Mar 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yvonne Sides
- Title
- Office Manager
- Phone
- (256) 601-1990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary |
Addresses
Primary practice location
385 Gooch LN
Madison, AL 35758-8366
Mailing address
385 Gooch LN
Madison, AL 35758-8366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6979358 | Other | AL | DRIVER'S LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Speech-Language Pathologist
- Owens Cross Roads, AL
- NPI 1073892824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646092800000",
"number": "1558017343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 GOOCH LN",
"city": "MADISON",
"state": "AL",
"postal_code": "357588366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 GOOCH LN",
"city": "MADISON",
"state": "AL",
"postal_code": "357588366",
"telephone_number": "318-450-7268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEST PEDIATRIC THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-01",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A",
"authorized_official_last_name": "SIDES",
"authorized_official_first_name": "YVONNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "256-601-1990"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "6979358",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
- Emily Nebrig
- Neighborhood Medical Supply, Inc. (Neighborhood CPAP)
- Neill Vision Inc (Pearle Vision)
- Teri Lynn Nelson, CB-MT
- Nesin Therapy Services, P.C.
- New Connections Counseling LLC
- New Horizon Home Health Services, LLC
- New Leaf Counseling Services of the TN Valley LLC
- Jennifer Wilbeck Newby, O.D.
- Nichols Panorama Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.