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RED MAPLE PEDIATRICS LLC
NPI 1295461119
Clinic/Center - Rural Health in Russellville, KY

Active since July 25, 2022CLIA 18D2268456 · Waiver
1621 NASHVILLE ST STE 106, RUSSELLVILLE, KY 42276(270) 946-1372(270) 216-6185 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2023, Nov 2, 2022, Jul 25, 2022 (3 updates tracked since 2022).

About Red Maple Pediatrics Llc NPPES

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

RED MAPLE PEDIATRICS LLC (NPI 1295461119) is a healthcare organization registered as a rural health in Russellville, Kentucky and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through September 12, 2026 and lists Danielle Kennedy-foster, Md, as its authorized official.

NPPES Registry Identity

NPI1295461119
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameRED MAPLE PEDIATRICS LLC
Location Address1621 NASHVILLE ST STE 106Russellville, KY 42276-8871
Mailing Address1621 Nashville St Ste 106Russellville, KY 42276-8871 · (270) 946-1372 · Fax (270) 216-6185
Phone(270) 946-1372
Fax(270) 216-6185
Organization SubpartNo
Authorized OfficialDanielle Kennedy-fosterMd · (270) 438-6622
Enumeration DateJuly 25, 2022
Last NPPES UpdateFebruary 26, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1295461119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1621 NASHVILLE ST STE 106, Russellville, KY 42276
Open in Google Maps ↗

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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 18D2268456

Red Maple Pediatrics · Russellville, KY
Active · expires Sep 12, 2026
CLIA Number18D2268456
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorDr. Danielle Foster
Laboratory Phone(270) 946-1372
Laboratory LocationRed Maple Pediatrics1621 Nashville Street Ste 106, Russellville, KY 42276
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 3

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

AMBER NAGORNAY APRN
Nurse Practitioner (Family)
1621 NASHVILLE ST STE 106
RUSSELLVILLE, KY 42276
Logan County (270) 946-1372
CAROLINE-CAMILLA EUGENIE SAUNDERS APRN, CPNP-PC, MSN
Nurse Practitioner (Pediatrics)
1621 NASHVILLE ST STE 106
RUSSELLVILLE, KY 42276
Logan County (270) 946-1372
LINDSAY NICHOLE VONDERAHE APRN
Nurse Practitioner (Family)
1621 NASHVILLE ST STE 106
RUSSELLVILLE, KY 42276
Logan County (270) 946-1372

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 Red Maple Pediatrics LLC's NPI number?

The NPI number for Red Maple Pediatrics LLC is 1295461119. It was assigned to this organization in the NPPES registry on July 25, 2022.

Where is Red Maple Pediatrics LLC located?

Red Maple Pediatrics LLC is located at 1621 Nashville St Ste 106, Russellville, KY 42276. The listed phone number is (270) 946-1372.

What is Red Maple Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Red Maple Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2268456) is associated with this NPI, valid through September 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Red Maple Pediatrics LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Red Maple Pediatrics LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Red Maple Pediatrics LLC was last updated on February 26, 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.