Saveritt Pediatrics PLLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

E2459 Issued in AR

Legal business name

SAVERITT PEDIATRICS PLLC

Doing business as

Best Start Pediatrics

Practice address

5501 Willow Creek Dr Ste 203
Springdale, AR 72762-8708

Phone

(479) 575-9359

NPI assigned

Jan 15, 2018

Last updated

Jan 23, 2018By 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

Dr. Susan M Averitt, MDNPI 1356304091

Title

Sole Proprietor

Phone

(479) 236-7974

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Best Start Pediatrics Doing business as

Practitioners 5

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.

• Susan M Averitt, MD

  • Pediatrics Physician
  • Springdale, AR
  • NPI 1356304091
  NPD (past) Authorized official
• Kellie Ann Chacanaca, APRN

  • Family Nurse Practitioner
  • Rogers, AR
  • NPI 1487004461
  NPD (past)
• Jessica Jean Newcomb, APRN

  • Pediatric Nurse Practitioner
  • Johnson, AR
  • NPI 1881150563
  NPD (past)
• Bessie Smith

  • Pediatric Nurse Practitioner
  • Springdale, AR
  • NPI 1437403235

  Single Specialty

  NPD (past)
• Connor Martin, CNP

  • Pediatric Nurse Practitioner
  • The Colony, TX
  • NPI 1821876921

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1689182412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 N DORCHESTER DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033989",
            "telephone_number": "479-236-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 WILLOW CREEK DR STE 203",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628708",
            "telephone_number": "479-575-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVERITT PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "AVERITT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "479-236-7974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AR",
            "license": "E2459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING OPTION 1",
            "identifier": "H14901",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOONER PCP",
            "identifier": "200016780A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356304091",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO DME",
            "identifier": "1324230001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140067001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS (WPS)",
            "identifier": "74502A050",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "731310891028",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200016780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Best Start Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Best Start Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Santana, LPC
• Sammie Rene Sappington, MHPP
• Jacquelynn Michelle Saravane, DPT
• Sas-Apn LLC
• Michael James Savage, MHPP
• Shana Sayle
• Kim Saylors
• Robert L Saylors III, MD
• Dwight Owen Sayre
• Kimberly Caroline Scarsdale, CFY-SLP

• Pediatric Adolescent Medicine Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Pediatric Adolescent Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.