SOUTHEASTERN PEDIATRICS AND FAMILY PRACTICE
NPI 1477210516
Nurse Practitioner - Family in Durant, OK
About Southeastern Pediatrics And Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN PEDIATRICS AND FAMILY PRACTICE (NPI 1477210516) is a healthcare organization registered as a family in Durant, Oklahoma and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Myna Laughlin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Group Practice 1
Accepted 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 37D2244988
Southeastern Pediatrics, PLLC · Durant, OKOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DURANT, OK 74701
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 Southeastern Pediatrics, PLLC's NPI number?
The NPI number for Southeastern Pediatrics, PLLC is 1477210516. It was assigned to this organization in the NPPES registry on November 23, 2021. The provider is doing business as Southeastern Pediatrics And Family Practice.
Where is Southeastern Pediatrics, PLLC located?
Southeastern Pediatrics, PLLC is located at 1705 N Washington Ave Ste C, Durant, OK 74701. The listed phone number is (580) 924-5439.
What is Southeastern Pediatrics, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Southeastern Pediatrics, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2244988) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southeastern Pediatrics, PLLC accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Southeastern Pediatrics, PLLC 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 Southeastern Pediatrics, PLLC was last updated on October 17, 2022. 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.
# Southeastern Pediatrics And Family Practice · NPI 1477210516
Family organization in Durant, Oklahoma. Organization record, active in the CMS NPPES registry since November 23, 2021.
## Identity
- **NPI:** 1477210516 (Entity type: Organization)
- **Enumerated:** November 23, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Southeastern Pediatrics, Pllc
- **Organization subpart:** No
- **Authorized official:** Myna Laughlin, OWNER
## Practice location
- **Address:** 1705 N WASHINGTON AVE STE C, Durant, OK 74701-2100
- **Phone:** (580) 924-5439
## Record status
- **NPPES last updated:** October 17, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477210516) · Data from the CMS NPPES public registry.