Pediatric Urgent Care PA

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PEDIATRIC URGENT CARE PA

Doing business as

Urgent Care for Kids

Practice address

1640 Lake Woodlands Dr
Suite E
The Woodlands, TX 77380-3276

Phone

(214) 729-5600

NPI assigned

Jun 5, 2011

Last updated

Jun 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian White

Title

Office Manager

Phone

(214) 729-5600

Specialties & licenses 8

Addresses

Other names 1

• Urgent Care for Kids Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 73

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.

• Priscilla Aguilar-Hernandez, PNP

  • Pediatric Nurse Practitioner
  • El Paso, TX
  • NPI 1255994174
  Medicare reassignment NPD
• Stacey Ann Alexander, MSN, RN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Spring, TX
  • NPI 1366940322
  Medicare reassignment NPD
• Punam Bhakta, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1235667163
  Medicare reassignment NPD
• Mercy Bishop

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1801388483
  Medicare reassignment NPD
• Denise Michelle Broomhall, ARNP

  • Nurse Practitioner
  • Austin, TX
  • NPI 1376795542
  Medicare reassignment NPD
• Yingyi Cao, MD

  • Pediatrics Physician
  • Round Rock, TX
  • NPI 1891292108
  Medicare reassignment NPD
• Johnelle Suzanne Elizabeth Cooper-Lassiter, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1194370668
  Medicare reassignment NPD
• Patricia Rose Dark, APRN, FNP-BC

  • Family Nurse Practitioner
  • The Woodlands, TX
  • NPI 1073004792
  Medicare reassignment NPD
• Mercedes Katherine Day, RN, MSN, FNP-C

  • Pediatric Nurse Practitioner
  • Fort Worth, TX
  • NPI 1366727083
  Medicare reassignment NPD
• Sabrina Didarali

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1508118282
  Medicare reassignment NPD
• Taylor Brooke Diehl, APRN, FNP

  • Family Nurse Practitioner
  • Arlington, TX
  • NPI 1285281857
  Medicare reassignment NPD
• Leigh A Dixon

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1558342360
  Medicare reassignment NPD

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

{
    "created_epoch": "1307232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1598059776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 RIVER RUN STE 302",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 LAKE WOODLANDS DR",
            "address_2": "SUITE E",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803276",
            "telephone_number": "214-729-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC URGENT CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-05",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-729-5600"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "H3835",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care for Kids",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urgent Care for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle A Peacock, PHD
• Peak Potential Family Chiropractic
• Peaks and Valleys Counseling Center PLLC
• Chelsea Dalton Pederson, LMSW
• Pediatric Therapy Services
• Pediatrics by Design, PLLC
• Peek a Baby Woodlands Prenatal Ultrasound Center (Peek A Baby Woodlands)
• Sarah Lynn Peek
• Shareez Peerbhai, M.D.
• John Joseph Peet, MD

• Urgent Care Clinic/Center in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.