Organization Active NPI

Kids First Pediatric Urgent Care, LLC

  • Pediatrics Physician
  • Florence, AL
National Provider Identifier
1780214189
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KIDS FIRST PEDIATRIC URGENT CARE, LLC
Practice address
2530 Florence Blvd Ste D
Florence, AL 35630-2807
Phone
(256) 802-1500
NPI assigned
Jan 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Lakeva Bena Casey, CRNPNPI 1255705000
Title
Owner
Phone
(256) 702-3981

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2530 Florence Blvd Ste D
Florence, AL 35630-2807

Mailing address

PO Box 2874
Florence, AL 35630-0022

Other identifiers 1

IdentifierTypeStateIssuer
1-130759OtherALLICENSE

National Provider Directory

National Provider Directory

Locations

2530 Florence Blvd
Ste D
Florence, AL 35630
Phone (256) 760-4390

Practitioners & affiliated clinicians

Practitioners 1

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": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1780214189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2874",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356300022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 FLORENCE BLVD STE D",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302807",
            "telephone_number": "256-802-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FIRST PEDIATRIC URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "LAKEVA",
        "authorized_official_middle_name": "BENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-702-3981",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1-130759",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.