Active NPI
Kids First Pediatric Urgent Care, LLC
- Pediatrics Physician
- Florence, AL
National Provider Identifier
1780214189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lakeva Bena Casey, CRNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-130759 | Other | AL | LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatric Nurse Practitioner
- Florence, AL
- NPI 1255705000
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.