NPIMap

Organization Active NPI

Brightstart Pediatrics,LLC

Doing business as BrightStart Pediatrics

  • Medically Fragile Infants and Children Day Care
  • Sanford, FL
National Provider Identifier
1912190125
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X
License
60080984 Issued in FL
Legal business name
BRIGHTSTART PEDIATRICS,LLC
Doing business as
BrightStart Pediatrics
Practice address
1133 W Airport Blvd
Sanford, FL 32773-4972
Phone
(407) 321-9570
Fax
(407) 321-9571
NPI assigned
Aug 21, 2007
Last updated
Aug 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Ms. Linda Catherine Brown, MBA, OTR/LNPI 1801957840
Title
Program Director
Phone
(407) 321-9570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medically Fragile Infants and Children Day Care 261QM3000X 60080984 FL Primary

Addresses

Primary practice location

1133 W Airport Blvd
Sanford, FL 32773-4972

Mailing address

12377 S Orange Blossom TRL
Orlando, FL 32837-6215
Phone (407) 857-1212

Other names 1

  • BrightStart Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brightstart Pediatrics8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

12377 S Orange Blossom Trl
Orlando, FL 32837
Phone (407) 857-1212

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1912190125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376215",
            "telephone_number": "407-857-1212",
            "fax_number": "407-857-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 W AIRPORT BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327734972",
            "telephone_number": "407-321-9570",
            "fax_number": "407-321-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTART PEDIATRICS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "407-321-9570",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "FL",
            "license": "60080984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStart Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.