NPIMap

Organization Active NPI

Smyrna Pediatrics PLLC

  • Pediatrics Physician
  • Smyrna, TN
National Provider Identifier
1992183271
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34715 Issued in TN
Legal business name
SMYRNA PEDIATRICS PLLC
Practice address
611 Potomac PL
Suite 103
Smyrna, TN 37167-5655
Phone
(615) 625-7780
Fax
(615) 625-7781
NPI assigned
May 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Dr. Rachel Ricafort, MDNPI 1083609689
Title
MD/Owner
Phone
(615) 625-7780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 34715 TN Primary

Addresses

Primary practice location

611 Potomac PL
Suite 103
Smyrna, TN 37167-5655

Mailing address

611 Potomac PL
Suite 103
Smyrna, TN 37167-5655
Phone (615) 625-7780

National Provider Directory

National Provider Directory

Locations

741 President Pl
Ste 210
Smyrna, TN 37167
Phone (615) 223-5565

611 Potomac Pl
Ste 103
Smyrna, TN 37167
Phone (615) 625-7780

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1992183271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 POTOMAC PL",
            "address_2": "SUITE 103",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675655",
            "telephone_number": "615-625-7780",
            "fax_number": "615-625-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 POTOMAC PL",
            "address_2": "SUITE 103",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675655",
            "telephone_number": "615-625-7780",
            "fax_number": "615-625-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMYRNA PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "RICAFORT",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "615-625-7780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "34715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.