SOUTH PADRE ISLAND PEDIATRIC CENTER
NPI 1366256554
Clinic/Center - Rural Health in Alice, TX

Active since February 06, 2025CLIA Certified · 2 labs

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Padre Island Pediatric Center NPPES

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

SOUTH PADRE ISLAND PEDIATRIC CENTER (NPI 1366256554) is a healthcare organization registered as a rural health in Alice, Texas and active in the NPI registry since February 2025. The organization holds 2 active CLIA laboratory certificates and lists Lindsey Zierhut, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1366256554
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTH PADRE ISLAND PEDIATRIC CENTER
Location Address415 E 4TH STAlice, TX 78332-4727
Mailing Address3845 S Padre Island DrCorpus Christi, TX 78415-2919 · (361) 854-4626
Organization SubpartNo
Authorized OfficialLindsey ZierhutCredentialing · (985) 646-1580
Enumeration DateFebruary 6, 2025
NPPES CertifiedFebruary 6, 2025
NPI 1366256554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
415 E 4TH ST, Alice, TX 78332

CLIA Laboratory Certificates CMS CLIA 2

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 45D2069354

South Padre Island Pediatrics · Alice, TX
Active · expires Nov 21, 2027
CLIA Number45D2069354
Laboratory TypePhysician Office
Certificate Effective DateNovember 22, 2025
Certificate Expiration DateNovember 21, 2027
Laboratory DirectorRamakrishna Mulukutla
Laboratory Phone(361) 664-8945
Laboratory LocationSouth Padre Island Pediatrics415 E 4th Street, Alice, TX 78332
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2327445

South Padre Island Pediatric Center · Victoria, TX
Active · expires Jul 21, 2027
CLIA Number45D2327445
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorMulukutla Remakrishna
Laboratory Phone(361) 664-8945
Laboratory LocationSouth Padre Island Pediatric Center106 Springwood Dr Ste 100, Victoria, TX 77904
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

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

Pediatrics
415 E 4TH ST
ALICE, TX 78332

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 South Padre Island Pediatric Center's NPI number?

The NPI number for South Padre Island Pediatric Center is 1366256554. It was assigned to this organization in the NPPES registry on February 6, 2025.

Where is South Padre Island Pediatric Center located?

South Padre Island Pediatric Center is located at 415 E 4th St, Alice, TX 78332. The listed phone number is (361) 664-8945.

What is South Padre Island Pediatric Center's specialty?

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

Does South Padre Island Pediatric Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for South Padre Island Pediatric Center was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.