Active NPI
Quinn Pediatrics, PLLC
- Pediatric Nurse Practitioner
- Rowlett, TX
National Provider Identifier
1760101356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- Legal business name
- QUINN PEDIATRICS, PLLC
- Practice address
- 5404 Kenwood Dr Ste 200
Rowlett, TX 75089-3104 - Phone
- (469) 613-2573
- Fax
- (469) 613-2583
- NPI assigned
- Aug 25, 2022
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Deanna Quach, CPNP-PC
- Title
- Pediatric Nurse Practitioner/Owner
- Phone
- (469) 348-6075
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2298947 | Quinn Pediatrics | Certificate of waiver | Feb 11, 2028 |
National Provider Directory
National Provider DirectoryLocations
5404 Kenwood Dr
Ste 200
Rowlett, TX 75089
Phone (469) 613-2573
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Pediatric Nurse Practitioner | 363LP0200X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5404 Kenwood Dr Ste 200
Rowlett, TX 75089-3104
Mailing address
8901 Kessler Dr
Rowlett, TX 75089-0167
Phone (469) 348-6075
Other names 1
NPPES NPI Registry- Quinn Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2024.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704326400000",
"number": "1760101356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 KESSLER DR",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750890167",
"telephone_number": "469-348-6075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5404 KENWOOD DR STE 200",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750893104",
"telephone_number": "469-613-2573",
"fax_number": "469-613-2583"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUINN PEDIATRICS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-25",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A",
"authorized_official_last_name": "QUACH",
"authorized_official_first_name": "DEANNA",
"authorized_official_title_or_position": "PEDIATRIC NURSE PRACTITIONER/OWNER",
"authorized_official_telephone_number": "469-348-6075",
"authorized_official_credential": "CPNP-PC"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Quinn Pediatrics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Quinn Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.