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PURPOSEFUL PEDIATRICS, PLLC
NPI 1225710866
Nurse Practitioner in Clemmons, NC

Active since August 03, 2023CLIA 34D2286663 · Waiver
2509A LEWISVILLE CLEMMONS RD # 1004, CLEMMONS, NC 27012(336) 608-7411 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 7, 2023, Aug 16, 2023 (2 updates tracked since 2023).

About Purposeful Pediatrics, Pllc NPPES

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

PURPOSEFUL PEDIATRICS, PLLC (NPI 1225710866) is a healthcare organization registered as a nurse practitioner in Clemmons, North Carolina and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through August 1, 2027 and lists Katina Dena' Little, Owner, as its authorized official.

NPPES Registry Identity

NPI1225710866
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePURPOSEFUL PEDIATRICS, PLLC
Location Address2509A LEWISVILLE CLEMMONS RD # 1004Clemmons, NC 27012-8712
Mailing Address376 Hollinswood AveWinston Salem, NC 27103-6245 · (336) 608-7411
Phone(336) 608-7411
Organization SubpartNo
Authorized OfficialKatina Dena' LittleOwner · (336) 608-7411
Enumeration DateAugust 3, 2023
Last NPPES UpdateJanuary 12, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2024
✔ NPI 1225710866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2509A LEWISVILLE CLEMMONS RD # 1004, Clemmons, NC 27012
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Other Identifiers 1

Medicaid1285876714NC

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 34D2286663

Purposeful Pediatrics, PLLC · Clemmons, NC
Active · expires Aug 1, 2027
CLIA Number34D2286663
Laboratory TypeMobile Laboratory
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorKatina Little
Laboratory Phone(336) 608-7411
Laboratory LocationPurposeful Pediatrics, PLLC2509A Lewisville Clemmons Rd, Clemmons, NC 27012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

KATINA DENA' LITTLE CPNP
Nurse Practitioner
2509A LEWISVILLE CLEMMONS RD # 1004
CLEMMONS, NC 27012
Forsyth County (336) 608-7411

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 Purposeful Pediatrics, PLLC's NPI number?

The NPI number for Purposeful Pediatrics, PLLC is 1225710866. It was assigned to this organization in the NPPES registry on August 3, 2023.

Where is Purposeful Pediatrics, PLLC located?

Purposeful Pediatrics, PLLC is located at 2509A Lewisville Clemmons Rd # 1004, Clemmons, NC 27012. The listed phone number is (336) 608-7411.

What is Purposeful Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Purposeful Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2286663) is associated with this NPI, valid through August 1, 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 Purposeful Pediatrics, PLLC was last updated on January 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.