Pediatrix Medical Group

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

676602 Issued in TX

Legal business name

PEDIATRIX MEDICAL GROUP

Practice address

3001 E President George Bush Hwy
Suite 250
Richardson, TX 75082-3542

Phone

(972) 437-5099

NPI assigned

May 13, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Ellen Flavin, RNC, MSN, NNP

Title

Neonatal Nurse Practitoner

Phone

(972) 437-5099

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1972554962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 E PRESIDENT GEORGE BUSH HWY",
            "address_2": "SUITE 250",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823542",
            "telephone_number": "972-437-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E PRESIDENT GEORGE BUSH HWY",
            "address_2": "SUITE 250",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823542",
            "telephone_number": "972-437-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIX MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "FLAVIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "NEONATAL NURSE PRACTITONER",
        "authorized_official_telephone_number": "972-437-5099",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RNC, MSN, NNP"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "TX",
            "license": "676602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Peckman, MS, EIS
• Samantha Marie Pecson, COTA
• Pedi Spot Home, LLC
• Pedi Spot, LLC
• Pediatrix Emergent and Critical Care Services, L.L.C.
• Pediatrix Medical Group of Louisiana, L.L.C.
• Lynna Pedroza
• Loretta Ann Pelfrey, LVN
• Danna Pelland
• Mariah A. Peltier, LPC

• Critical Care Medicine Nurse Practitioner in Richardson, TX
• Providers in Richardson, TX by specialty
• Critical Care Medicine Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.