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PEDIATRIC ASSOCIATES
NPI 1205974623
Pediatrics in East Providence, RI

Active since February 01, 2007CLIA 41D0702228 · Waiver
450 VETERANS MEMORIAL PKWY BLDG 10, EAST PROVIDENCE, RI 02914(401) 438-6888(401) 434-1285 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Associates NPPES

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

PEDIATRIC ASSOCIATES (NPI 1205974623) is a healthcare organization registered as a pediatrics in East Providence, Rhode Island and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Kimberley J. Townsend, President, as its authorized official.

NPPES Registry Identity

NPI1205974623
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES
Location Address450 VETERANS MEMORIAL PKWY BLDG 10East Providence, RI 02914-5300
Mailing Address450 Veterans Memorial Pkwy Bldg 10East Providence, RI 02914-5300 · (401) 438-6888 · Fax (401) 434-1285
Phone(401) 438-6888
Fax(401) 434-1285
Organization SubpartNo
Authorized OfficialKimberley J. TownsendPresident · (401) 438-6888
Enumeration DateFebruary 1, 2007
Last NPPES UpdateNovember 14, 2011
✔ NPI 1205974623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in RI · MD9132
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
450 VETERANS MEMORIAL PKWY BLDG 10, East Providence, RI 02914
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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 41D0702228

Pediatric Associates, Inc · East Providence, RI
Active · expires Sep 20, 2026
CLIA Number41D0702228
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorJessica Farrell
Laboratory Phone(401) 438-6888
Laboratory LocationPediatric Associates, Inc450 Veterans Memorial Parkway Ste 10, East Providence, RI 02914
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 4

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

JESSICA BRETT FARRELL M.D.
Pediatrics
450 VETERANS MEMORIAL PKWY BLDG 10
EAST PROVIDENCE, RI 02914
Providence County (401) 721-6130
CHRISTINA MARTINS CPNP
Nurse Practitioner (Pediatrics)
450 VETERANS MEMORIAL PKWY BLDG 10
EAST PROVIDENCE, RI 02914
Providence County (401) 438-6888
JACKLYN MARIE REIS PA-C
Physician Assistant
450 VETERANS MEMORIAL PKWY BLDG 10
EAST PROVIDENCE, RI 02914
Providence County (401) 438-6888
CARA MOELLER FNP, CDE, CDOE
Nurse Practitioner (Family)
450 VETERANS MEMORIAL PKWY BLDG 10
EAST PROVIDENCE, RI 02914
Providence County (860) 463-0176

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 Pediatric Associates's NPI number?

The NPI number for Pediatric Associates is 1205974623. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Pediatric Associates located?

Pediatric Associates is located at 450 Veterans Memorial Pkwy Bldg 10, East Providence, RI 02914. The listed phone number is (401) 438-6888.

What is Pediatric Associates's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatric Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D0702228) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Associates was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.