Niebles and Samter MDS P.a

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

NIEBLES AND SAMTER MDS P.A

Doing business as

The Kid's Doctor

Practice address

10549 North Florida Avenue
Suite B
Tampa, FL 33612

Phone

(813) 971-3844

Fax

(813) 971-3300

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Maria Niebles, M.D

Title

President

Phone

(813) 971-3844

Specialties & licenses 1

Addresses

Other names 1

• THE KID'S DOCTOR Doing business as

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568500635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10549 NORTH FLORIDA AVENUE",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "813-971-3844",
            "fax_number": "813-971-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10549 NORTH FLORIDA AVENUE",
            "address_2": "SUITE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "813-971-3844",
            "fax_number": "813-971-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIEBLES AND SAMTER MDS P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIEBLES",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-971-3844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE KID'S DOCTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Lynn Nicolaus, LCSW
• Santo Nicosia, MD
• Nida Littlefield and Associates
• Vicki A Nidzgorski, DENTAL HYGIENIST
• Julia Mercer Niebauer, MD
• Jacqueline Maria Niebles, M.D
• Alena Niederlova, PT
• Colleen Niedzwiecki, MD
• Saleena Ruth Niehaus, D.P.M.
• Bethany L. Niell, MD

• Pediatrics Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.