Forever Kid Pediatric Practice

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

07446R Issued in LA

Legal business name

FOREVER KID PEDIATRIC PRACTICE

Practice address

3321 Florida Ave
Kenner, LA 70065

Phone

(504) 461-2224

Fax

(504) 461-2226

NPI assigned

Aug 3, 2017

Organization subpart

No

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

Authorized official

Name

Edith Luz Linares, MD

Title

Owner

Phone

(504) 461-2224

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821513508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 FLORIDA AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653680",
            "telephone_number": "504-461-2224",
            "fax_number": "504-461-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 FLORIDA AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "504-461-2224",
            "fax_number": "504-461-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER KID PEDIATRIC PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LINARES",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "LUZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-461-2224",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "07446R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1373303",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conar Patrick Fitton, M.D.
• Amy Flesch
• Joy Fletcher Chairs, NP
• Gracishone Larrian Floyd
• Sarah Fontenelle
• Karen M Foti, MD
• Luis R Franco, MD
• Sarah Freeman
• Ronald J French Jr., MD
• Amy C Froeba, M.C.D., CCC-SLP

• Pediatrics Physician in Kenner, LA
• Providers in Kenner, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.