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WAKEFIELD PEDIATRICS, LLC
NPI 1013015791
Pediatrics - Adolescent Medicine in Wakefield, RI

Active since September 20, 2006CLIA 41D1012311 · Waiver
46 HOLLEY ST, SUITE 2, WAKEFIELD, RI 02879(401) 783-8008(401) 783-8156 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wakefield Pediatrics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAKEFIELD PEDIATRICS, LLC (NPI 1013015791) is a healthcare organization registered as an adolescent medicine in Wakefield, Rhode Island and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Lauren C. Noel, Llc Member, as its authorized official.

NPPES Registry Identity

NPI1013015791
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameWAKEFIELD PEDIATRICS, LLC
Location Address46 HOLLEY ST, SUITE 2Wakefield, RI 02879-3325
Mailing Address46 Holley St, Suite 2Wakefield, RI 02879-3325 · (401) 783-8008 · Fax (401) 783-8156
Phone(401) 783-8008
Fax(401) 783-8156
Organization SubpartNo
Authorized OfficialLauren C. NoelLlc Member · (401) 783-8008
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013015791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
46 HOLLEY ST, Wakefield, RI 02879
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D1012311

Wakefield Pediatrics LLC · Wakefield, RI
Active · expires May 6, 2027
CLIA Number41D1012311
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorLauren C. Noel
Laboratory Phone(401) 783-8008
Laboratory LocationWakefield Pediatrics LLC49 S County Commons Way Fl 2, Wakefield, RI 02879
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANCHOR PHYSICAL THERAPY LLC
Clinic/Center (Physical Therapy)
46 HOLLEY ST, STE 3
WAKEFIELD, RI 02879
Washington County (401) 284-0770
MR. MARK A TOROK MS, PT, MBA
Physical Therapist
46 HOLLEY ST, STE 3
WAKEFIELD, RI 02879
Washington County (401) 714-4627
HEATHER A DIBIASIO M.D.
Pediatrics (Adolescent Medicine)
46 HOLLEY ST, SUITE 2
WAKEFIELD, RI 02879
Washington County (401) 783-8008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wakefield Pediatrics, LLC's NPI number?

The NPI number for Wakefield Pediatrics, LLC is 1013015791. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Wakefield Pediatrics, LLC located?

Wakefield Pediatrics, LLC is located at 46 Holley St Suite 2, Wakefield, RI 02879. The listed phone number is (401) 783-8008.

What is Wakefield Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Wakefield Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D1012311) is associated with this NPI, valid through May 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wakefield Pediatrics, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.