Childrens Critical Care Associates

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

Legal business name

CHILDRENS CRITICAL CARE ASSOCIATES

Practice address

1814 Lucerne Ter
Suite C
Orlando, FL 32806-2949

Phone

(727) 767-4755

NPI assigned

Aug 25, 2006

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

Kristy Stewart

Title

Credentialing Coordinator

Phone

(727) 456-4250

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Lawrence D Spack, MD

  • Pediatric Critical Care Medicine Physician
  • Orlando, FL
  • NPI 1043327752
  NPD
• Mary Farrell, MD

  • Pediatric Critical Care Medicine Physician
  • Orlando, FL
  • NPI 1013024785
  NPD (past)
• Shoba Srikantan, MD

  • Pediatric Critical Care Medicine Physician
  • St Petersburg, FL
  • NPI 1558478289
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982712667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 DR MARTIN LUTHER KING JR ST N",
            "address_2": "SUITE 108",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011547",
            "telephone_number": "727-456-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 LUCERNE TER",
            "address_2": "SUITE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062949",
            "telephone_number": "727-767-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS CRITICAL CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "727-456-4250"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children's Home Society of Florida
• Children's Home Society of Florida
• Children's Surgical Associates
• Childrenfirst Therapy Services Inc
• Childrenfirst Therapy Services, Inc.
• Ruby Childress, RN
• Sedrek Childress, CERTIFIED NUTRITIONI
• Valerie Alexis Childrey, MD
• Braden Childs
• Jill Childs, CD

• Pediatric Critical Care Medicine Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatric Critical Care Medicine Physician in Florida

• 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.