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GREAT DESTINATIONS PEDIATRICS
NPI 1235274051
Pediatrics in Peoria, AZ

Active since February 20, 2007CLIA 03D0959641 · Waiver
7757 W DEER VALLEY RD, SUITE 275, PEORIA, AZ 85382(623) 878-2800(623) 878-9150 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Great Destinations Pediatrics NPPES

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

GREAT DESTINATIONS PEDIATRICS (NPI 1235274051) is a healthcare organization registered as a pediatrics in Peoria, Arizona and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through April 14, 2027 and lists Kristin Shepherd, Owner/physician Owner, as its authorized official.

NPPES Registry Identity

NPI1235274051
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGREAT DESTINATIONS PEDIATRICS
Location Address7757 W DEER VALLEY RD, SUITE 275Peoria, AZ 85382-2118
Mailing Address7757 W Deer Valley Rd Ste 275Peoria, AZ 85382-2130 · (623) 878-2800 · Fax (623) 878-9150
Phone(623) 878-2800
Fax(623) 878-9150
Organization SubpartNo
Authorized OfficialKristin ShepherdOwner/physician Owner · (623) 878-2800
Enumeration DateFebruary 20, 2007
Last NPPES UpdateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
✔ NPI 1235274051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
7757 W DEER VALLEY RD, Peoria, AZ 85382
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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 03D0959641

Great Destinations Pediatrics PC · Peoria, AZ
Active · expires Apr 14, 2027
CLIA Number03D0959641
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorKaren Prentice
Laboratory Phone(623) 878-2800
Laboratory LocationGreat Destinations Pediatrics PC7757 W Deer Valley Rd Ste 275, Peoria, AZ 85382
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 4

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

PRO SLEEP TESTING
Specialist
7757 W DEER VALLEY RD, STE 260
PEORIA, AZ 85382
Maricopa County (602) 680-4540
DR. JAY WRIGHT DDS, MS
Dentist
7757 W DEER VALLEY RD, STE 260
PEORIA, AZ 85382
Maricopa County (602) 284-5163
AZ SNORE NO MORE, LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
7757 W DEER VALLEY RD, STE 260
PEORIA, AZ 85382
Maricopa County (602) 284-5163
CLASSIC CARE PEDIATRICS LLC
Pediatrics
7757 W DEER VALLEY RD, SUITE275
PEORIA, AZ 85382
Maricopa County (623) 262-4926

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 Great Destinations Pediatrics's NPI number?

The NPI number for Great Destinations Pediatrics is 1235274051. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Great Destinations Pediatrics located?

Great Destinations Pediatrics is located at 7757 W Deer Valley Rd Suite 275, Peoria, AZ 85382. The listed phone number is (623) 878-2800.

What is Great Destinations Pediatrics's specialty?

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

Does Great Destinations Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0959641) is associated with this NPI, valid through April 14, 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 Great Destinations Pediatrics was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.