Organization Active NPI

Quinn Pediatrics, PLLC

  • Pediatric Nurse Practitioner
  • Rowlett, TX
National Provider Identifier
1760101356
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
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-PCNPI 1588172969
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2298947Quinn Pediatrics5404 Kenwood Drive Suite 200, Rowlett, TX 75089Certificate of waiverFeb 11, 2028

National Provider Directory

National Provider Directory

Locations

5404 Kenwood Dr
Ste 200
Rowlett, TX 75089
Phone (469) 613-2573

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.