1. Home
  2. Directory
  3. Florida
  4. Saint Augustine
  5. Clinic Center
  6. NPI Profile

BRIGHTSIDE PEDIATRICS
NPI 1376360578
Clinic/Center - Medically Fragile Infants and Children Day Care in Saint Augustine, FL

Active since September 20, 2024
1764 TREE BLVD STE 1, SAINT AUGUSTINE, FL 32084(904) 895-7337(904) 925-1365 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brightside Pediatrics NPPES

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

BRIGHTSIDE PEDIATRICS (NPI 1376360578) is a healthcare organization registered as a medically fragile infants and children day care in Saint Augustine, Florida and active in the NPI registry since September 2024. The organization lists Jacque Dennie, Owner, Director Of Nursing, as its authorized official.

NPPES Registry Identity

NPI1376360578
Entity TypeOrganization
Primary Taxonomy261QM3000X
Legal Business NameBRIGHTSIDE PEDIATRICS
Location Address1764 TREE BLVD STE 1Saint Augustine, FL 32084-5723
Mailing Address1764 Tree Blvd Ste 1Saint Augustine, FL 32084-5723 · (904) 895-7337 · Fax (904) 925-1365
Phone(904) 895-7337
Fax(904) 925-1365
Organization SubpartNo
Authorized OfficialJacque DennieOwner, Director Of Nursing · (904) 895-7337
Enumeration DateSeptember 20, 2024
NPPES CertifiedSeptember 20, 2024
✔ NPI 1376360578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medically Fragile Infants and Children Day CareAmbulatory Health Care Facilities
Taxonomy Code261QM3000X
Definition
An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
1764 TREE BLVD STE 1, Saint Augustine, FL 32084
Open in Google Maps ↗

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 Brightside Pediatrics's NPI number?

The NPI number for Brightside Pediatrics is 1376360578. It was assigned to this organization in the NPPES registry on September 20, 2024.

Where is Brightside Pediatrics located?

Brightside Pediatrics is located at 1764 Tree Blvd Ste 1, Saint Augustine, FL 32084. The listed phone number is (904) 895-7337.

What is Brightside Pediatrics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medically Fragile Infants and Children Day Care, with taxonomy code 261QM3000X.

When was this NPI record last updated?

The NPPES record for Brightside Pediatrics was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.