Organization Active NPI

Temple Pediatrics PLLC

  • Critical Care Pediatric Nurse Practitioner
  • Temple, TX
National Provider Identifier
1568248367
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
Legal business name
TEMPLE PEDIATRICS PLLC
Practice address
903 Canyon Creek Dr.
Suite 120
Temple, TX 76502-3545
Phone
(512) 971-2930
Fax
(512) 582-8585
NPI assigned
Sep 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Samantha Harmon, MSN, CPNP-PCNPI 1194374173
Title
Owner
Phone
(512) 971-2930

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
Critical Care Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0222X Primary

Addresses

Primary practice location

903 Canyon Creek Dr.
Suite 120
Temple, TX 76502-3545

Mailing address

903 Canyon Creek Dr.
Suite 120
Temple, TX 76502-3545
Phone (512) 971-2930

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
45D2300503Temple Pediatrics PLLC903 Canyon Creek Dr Ste 120, Temple, TX 76502Certificate of waiverMar 11, 2028

National Provider Directory

National Provider Directory

Locations

903 Canyon Creek Dr
Ste 120
Temple, TX 76502
Phone (254) 329-6330

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1568248367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 CANYON CREEK DR.",
            "address_2": "SUITE 120",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023545",
            "telephone_number": "512-971-2930",
            "fax_number": "512-582-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 CANYON CREEK DR.",
            "address_2": "SUITE 120",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023545",
            "telephone_number": "512-971-2930",
            "fax_number": "512-582-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-971-2930",
        "authorized_official_credential": "MSN, CPNP-PC"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.