Children's Kidmed Clinic Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CHILDREN'S KIDMED CLINIC INC.

Practice address

1200 Hospital Dr
Suite 8
Opelousas, LA 70570-6552

Phone

(337) 942-5633

NPI assigned

Feb 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Allison AmyNPI 1992062475

Title

President

Phone

(337) 942-5633

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allison Anne Amy, RN

  • Registered Nurse
  • Opelousas, LA
  • NPI 1992062475
  Authorized official Same address or phone

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851426027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HOSPITAL DR",
            "address_2": "SUITE 8",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706552",
            "telephone_number": "337-942-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HOSPITAL DR",
            "address_2": "SUITE 8",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706552",
            "telephone_number": "337-942-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S KIDMED CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMY",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-942-5633",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1416363",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wronetta Ann Charles, DNP, APRN, BC, FNP-C
• Eric Chatman, M.D.
• Check Point Urgent Care
• Cherished Transportation, LLC
• Ashley Chevis
• Choosing a New Path, LLC
• Chris Transportation Medical Ride LLC
• Randal V Christian, O.D.
• David B Clause, MD
• CLHG-Acadian LLC (Acadian Family Clinic by Acadian Medical Center)

• Health Service Clinic/Center in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Health Service Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.