NPIMap

Organization Active NPI

Healthy Kids, LLC

  • Pediatrics Physician
  • Murfreesboro, TN
National Provider Identifier
1699129080
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
37838 Issued in TN
Legal business name
HEALTHY KIDS, LLC
Practice address
452 N Thompson LN
Suite E
Murfreesboro, TN 37129-4310
Phone
(615) 900-3301
Fax
(615) 962-9328
NPI assigned
Apr 21, 2016
Last updated
Apr 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Mr. Samer Loleh, M.D.NPI 1104878248
Title
Principal Officer
Phone
(615) 900-3301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 37838 TN Primary

Addresses

Primary practice location

452 N Thompson LN
Suite E
Murfreesboro, TN 37129-4310

Mailing address

452 N Thompson LN
Suite E
Murfreesboro, TN 37129-4310
Phone (615) 900-3301

National Provider Directory

National Provider Directory
Tax ID family
Healthy Kids2 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.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1699129080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 N THOMPSON LN",
            "address_2": "SUITE E",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294310",
            "telephone_number": "615-900-3301",
            "fax_number": "615-962-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 N THOMPSON LN",
            "address_2": "SUITE E",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294310",
            "telephone_number": "615-900-3301",
            "fax_number": "615-962-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "LOLEH",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "PRINCIPAL OFFICER",
        "authorized_official_telephone_number": "615-900-3301",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "37838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.