Pediatrust, LLC

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

PEDIATRUST, LLC

Practice address

2041 Florida Ave SW
Denham Springs, LA 70726-4914

Phone

(225) 665-7287

NPI assigned

Sep 23, 2013

Organization subpart

Yes

Parent organization

PEDIARUST, LLCAs reported in NPPES

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

Authorized official

Name

Leann Craig

Title

Ceo

Phone

(225) 252-7633

Specialties & licenses 2

Addresses

Part of

Pediatrust LLC

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1699101675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 FLORIDA BLVD SW",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "70726",
            "telephone_number": "225-665-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 FLORIDA AVE SW",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707264914",
            "telephone_number": "225-665-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRUST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIARUST, LLC",
        "enumeration_date": "2013-09-23",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "LEANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-252-7633"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Paul, MSW.RSW
• Jennifer Pearson
• Paige Lauren Pedersen-Muller, APRN, FNP-C
• Pediatric and Adolescent Medicine Specialists, LLC
• Pediatric Associates of Denham Springs
• Pedicons, Inc.
• Kalila Pellerin, LCSW
• Rachel Hughey Perkins, SLP
• Kevinett Perrier, MASTERS
• Dedriana Perry, N/A

• Medically Fragile Infants and Children Day Care in Denham Springs, LA
• Providers in Denham Springs, LA by specialty
• Medically Fragile Infants and Children Day Care in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.