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PEDIPLACE
NPI 1467573311
Nurse Practitioner - Pediatrics in Lewisville, TX

Active since April 02, 2007CLIA 45D0952487 · Waiver
502 S OLD ORCHARD LN STE 126, LEWISVILLE, TX 75067(972) 436-7962(972) 353-5780 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2023, Dec 14, 2021 (2 updates tracked since 2021).

About Pediplace NPPES

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

PEDIPLACE (NPI 1467573311) is a healthcare organization registered as a pediatrics in Lewisville, Texas and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through September 21, 2026 and lists Larry Robins, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1467573311
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NamePEDIPLACE
Location Address502 S OLD ORCHARD LN STE 126Lewisville, TX 75067-4374
Mailing Address502 S Old Orchard Ln Ste 126Lewisville, TX 75067-4374 · (972) 436-7962 · Fax (972) 353-5780
Phone(972) 436-7962
Fax(972) 353-5780
Organization SubpartNo
Authorized OfficialLarry RobinsExecutive Director · (972) 436-7962
Enumeration DateApril 2, 2007
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1467573311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Also ListedSpecialistTaxonomy 174400000X
Also ListedPediatricsTaxonomy 208000000X
502 S OLD ORCHARD LN STE 126, Lewisville, TX 75067
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Other Identifiers 2

Medicaid091930002TX
Medicaid091930001TX

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 WellPoint.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 45D0952487

Pediplace · Lewisville, TX
Active · expires Sep 21, 2026
CLIA Number45D0952487
Laboratory TypeIndependent
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorCassandra R. Singleton
Laboratory Phone(972) 436-7962
Laboratory LocationPediplace502 South Old Orchard Suite 126, Lewisville, TX 75067
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 5

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

MS. SANDRA RODRIGUEZ RN
Nurse Practitioner (Pediatrics)
502 S OLD ORCHARD LN STE 126
LEWISVILLE, TX 75067
Denton County (972) 436-7962
SHATAVIA NICOLE ANDREWS MS, LPC
Counselor (Professional)
502 S OLD ORCHARD LN STE 126
LEWISVILLE, TX 75067
Denton County (972) 436-7962
MRS. ANGELA KIM SO CPNP
Nurse Practitioner (Pediatrics)
502 S OLD ORCHARD LN STE 126
LEWISVILLE, TX 75067
Denton County (972) 436-7962
ALINA ANNA CHERIAN APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
502 S OLD ORCHARD LN STE 126
LEWISVILLE, TX 75067
Denton County (972) 436-7962
KATHLEEN M. MCHUGH PNP
Nurse Practitioner (Pediatrics)
502 S OLD ORCHARD LN STE 126
LEWISVILLE, TX 75067
Denton County (469) 322-3665

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 Pediplace's NPI number?

The NPI number for Pediplace is 1467573311. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Pediplace located?

Pediplace is located at 502 S Old Orchard Ln Ste 126, Lewisville, TX 75067. The listed phone number is (972) 436-7962.

What is Pediplace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Does Pediplace hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0952487) is associated with this NPI, valid through September 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediplace accept?

Health plans from WellPoint list Pediplace 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 Pediplace was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.