NPIMap

Organization Active NPI

Csi-Pediatric Services, LLC

Doing business as Csi-Special Care

  • Health Service Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1790231827
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
CSI-PEDIATRIC SERVICES, LLC
Doing business as
Csi-Special Care
Practice address
3040 Dyer Blvd
Suite 3028, 3030
Kissimmee, FL 34741-7839
Phone
(407) 279-1668
NPI assigned
Aug 29, 2016
Last updated
Jul 13, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PEDIATRIC HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Donna Lodato, RN
Title
Ceo
Phone
(786) 522-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3040 Dyer Blvd
Suite 3028, 3030
Kissimmee, FL 34741-7839

Mailing address

15050 NW 79TH CT Ste 201
Miami Lakes, FL 33016-5810
Phone (786) 522-9600

Other identifiers 1

IdentifierTypeStateIssuer
024131700MedicaidFL

Other names 2

  • CSI-SPECIAL CARE Doing business as
  • Spark Pediatrics Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address donnal@sparkpediatrics.com

National Provider Directory

National Provider Directory
Tax ID family
Csi Special Care15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

3040 Dyer Blvd
Ste 3028
Kissimmee, FL 34741
Phone (407) 279-1668

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1790231827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15050 NW 79TH CT STE 201",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165810",
            "telephone_number": "786-522-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 DYER BLVD",
            "address_2": "SUITE 3028, 3030",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417839",
            "telephone_number": "407-279-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSI-PEDIATRIC SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC HOLDINGS, LLC",
        "enumeration_date": "2016-08-29",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "LODATO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-522-9600",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024131700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donnal@sparkpediatrics.com",
            "affiliation": "N",
            "address_1": "3040 Dyer Blvd",
            "address_2": "Suite 3028, 3030",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347417839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CSI-SPECIAL CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spark Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.