Organization Active NPI

Homegrown Essential Pediatrics

  • Primary Care Nurse Practitioner
  • Smithtown, NY
National Provider Identifier
1700636164
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
HOMEGROWN ESSENTIAL PEDIATRICS
Practice address
267 E Main St BLDG C
Smithtown, NY 11787-2847
Phone
(631) 248-2700
Fax
(866) 456-0906
NPI assigned
Mar 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Heather Ann Riddle, DNPNPI 1295955508
Title
DNP
Phone
(631) 248-2700

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
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

267 E Main St BLDG C
Smithtown, NY 11787-2847

Mailing address

267 E Main St BLDG C
Smithtown, NY 11787-2847
Phone (631) 248-2700

Other names 1

  • Homegrown Essential Wellness Pediatrics & Family Doing business as

National Provider Directory

National Provider Directory

Locations

257 E Main St
Ste B
Smithtown, NY 11787
Phone (631) 248-2700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1700636164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 E MAIN ST BLDG C",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872847",
            "telephone_number": "631-248-2700",
            "fax_number": "866-456-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 E MAIN ST BLDG C",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872847",
            "telephone_number": "631-248-2700",
            "fax_number": "866-456-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEGROWN ESSENTIAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DNP",
        "authorized_official_telephone_number": "631-248-2700",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homegrown Essential Wellness Pediatrics & Family",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Homegrown Essential Wellness Pediatrics & Family",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.