Active NPI
Temple Pediatrics PLLC
- Critical Care Pediatric Nurse Practitioner
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pediatric Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samantha Harmon, MSN, CPNP-PC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2300503 | Temple Pediatrics PLLC | Certificate of waiver | Mar 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse Practitioner
- Temple, TX
- NPI 1194374173
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.