Children'S Clinic East, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHILDREN'S CLINIC EAST, P.C.

Practice address

2025 N Mount Juliet Rd Ste 200
Mt Juliet, TN 37122-3934

Phone

(615) 773-7277

Fax

(615) 234-7650

NPI assigned

Aug 9, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Kristi S Dozier

Title

Billing Manager

Phone

(615) 234-7652

Specialties & licenses 1

Addresses

Other names 1

• Children's Clinic East Doing business as

Tax ID family

Children'S Clinic East2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Children'S Clinic East

  • Pediatrics Physician
  • Mount Juliet, TN
  • NPI 1215056742
  NPD tax ID

Locations

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1588097869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 CENTRAL PIKE",
            "address_2": "SUITE 251",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370763419",
            "telephone_number": "615-232-8033",
            "fax_number": "615-885-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N MOUNT JULIET RD STE 200",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223934",
            "telephone_number": "615-773-7277",
            "fax_number": "615-234-7650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 S Hartmann Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370904018",
            "country_code": "US",
            "telephone_number": "615-466-9770",
            "fax_number": "615-466-9782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Central Pike Ste 251",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370763421",
            "country_code": "US",
            "telephone_number": "615-232-8033",
            "fax_number": "615-885-7838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S CLINIC EAST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "DOZIER",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "615-234-7652",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Clinic East",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children's Clinic East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelley Cheeks, CCC-SLP
• Bezawit Chekol
• Esther Chelladurai, MS, LPC MHSP, LADAC2
• Marianna Cheplick
• Children'S Clinic East
• Jordan Alexa Choate
• Chris Hana Chong
• Deidre Lin Chopoorian, PHARMD
• Chelsea Chrisp, DPT
• Tommi Alexandra Christian, MS, BCBA, LBA

• Pediatrics Physician in Mt Juliet, TN
• Providers in Mt Juliet, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.