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OCOEE PEDIATRICS OF CLEVELAND, PC
NPI 1174911838
Nurse Practitioner - Family in Cleveland, TN

Active since January 05, 2015CLIA 44D1056252 · Certificate of Compliance
2825 WESTSIDE DR NW, SUITE C, CLEVELAND, TN 37312(423) 614-3733(423) 614-3738 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ocoee Pediatrics Of Cleveland, Pc NPPES

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

OCOEE PEDIATRICS OF CLEVELAND, PC (NPI 1174911838) is a healthcare organization registered as a family in Cleveland, Tennessee and active in the NPI registry since January 2015. The organization holds a CLIA Certificate of Compliance certificate valid through July 26, 2027 and lists Lisa Defriece, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1174911838
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOCOEE PEDIATRICS OF CLEVELAND, PC
Location Address2825 WESTSIDE DR NW, SUITE CCleveland, TN 37312-3504
Mailing Address2825 Westside Dr Nw, Suite CCleveland, TN 37312-3504 · (423) 614-3733 · Fax (423) 614-3738
Phone(423) 614-3733
Fax(423) 614-3738
Organization SubpartNo
Authorized OfficialLisa DefrieceBilling Supervisor · (423) 339-2320
Enumeration DateJanuary 5, 2015
✔ NPI 1174911838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 17785
Also ListedSpecialistTaxonomy 174400000X · License 021336 (TN)
2825 WESTSIDE DR NW, Cleveland, TN 37312
Open in Google Maps ↗

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 MULTIPLE 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 Compliance 44D1056252

Ocoee Pediatrics Of Cleveland, PC · Cleveland, TN
Active · expires Jul 26, 2027
CLIA Number44D1056252
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorAngela M. Coates
Laboratory Phone(423) 614-3733
Laboratory LocationOcoee Pediatrics Of Cleveland, PC55 25th Street Ste 1, Cleveland, TN 37311
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

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

SAMIR RAHBE MD
Internal Medicine
2825 WESTSIDE DR NW
CLEVELAND, TN 37312
Bradley County (423) 472-2155
BRADLEY PEDIATRICS
Specialist
2825 WESTSIDE DR NW, STE C
CLEVELAND, TN 37312
Bradley County (423) 614-3733

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 Ocoee Pediatrics Of Cleveland, PC's NPI number?

The NPI number for Ocoee Pediatrics Of Cleveland, PC is 1174911838. It was assigned to this organization in the NPPES registry on January 5, 2015.

Where is Ocoee Pediatrics Of Cleveland, PC located?

Ocoee Pediatrics Of Cleveland, PC is located at 2825 Westside Dr NW Suite C, Cleveland, TN 37312. The listed phone number is (423) 614-3733.

What is Ocoee Pediatrics Of Cleveland, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Ocoee Pediatrics Of Cleveland, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 44D1056252) is associated with this NPI, valid through July 26, 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 Ocoee Pediatrics Of Cleveland, PC was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.