Pediatrics of Kempsville, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRICS OF KEMPSVILLE, P.C.

Practice address

1212 Lake James Dr
Suite C
Virginia Beach, VA 23464-6779

Phone

(757) 523-4589

Fax

(757) 523-8920

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Winfield Anthony Young, M.D.NPI 1386696607

Title

Director

Phone

(757) 523-4589

Specialties & licenses 1

Addresses

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 5

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

• Winfield Anthony Young, MD

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1386696607
  NPD (past) Authorized official
• Maxine Ruth Beatty, MD

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1174580377
  NPD (past)
• Carol Elaine Downing, MD

  • Pediatrics Physician
  • Virginia Beach, VA
  • NPI 1558315937
  NPD (past)
• Jennifer Larson Kurrle, NP

  • Family Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1447358577
  NPD (past)
• Cynthia N Trent, CPNP, AE-C

  • Pediatric Nurse Practitioner
  • Virginia Beach, VA
  • NPI 1609870625
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710072145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 LAKE JAMES DR",
            "address_2": "SUITE C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646779",
            "telephone_number": "757-523-4589",
            "fax_number": "757-523-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 LAKE JAMES DR",
            "address_2": "SUITE C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646779",
            "telephone_number": "757-523-4589",
            "fax_number": "757-523-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS OF KEMPSVILLE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WINFIELD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-523-4589",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peculiar Beauty LLC
• Adriannah Peden
• Emily Elizabeth Peden
• Evelyn Louise Pedersen, N. P.
• Pediatric Dental Care of Tidewater PC
• Ramoncito Valencia Pedro, SUB-IDC
• Yolanda Vazquez Pedroza, MS. CCC-SLP
• Laniesha Denise Peebles
• Devon Peele, M.D.
• Katrina K Peele, RBT, BA

• Pediatrics Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.