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PEDIATRIC KARE KLINIC PLLC
NPI 1609348580
Clinic/Center - Primary Care in Forney, TX

Active since December 17, 2018CLIA 45D2171050 · Waiver
104 E US HIGHWAY 80 STE 190, FORNEY, TX 75126(469) 602-5277(469) 995-7898 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2020, Sep 13, 2019, Dec 17, 2018 (3 updates tracked since 2018).

About Pediatric Kare Klinic Pllc NPPES

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

PEDIATRIC KARE KLINIC PLLC (NPI 1609348580) is a healthcare organization registered as a primary care in Forney, Texas and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Deloris Renee Harwell, Pediatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1609348580
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEDIATRIC KARE KLINIC PLLC
Location Address104 E US HIGHWAY 80 STE 190Forney, TX 75126-8615
Mailing Address104 E Us Highway 80 Ste 190Forney, TX 75126-8615 · (469) 602-5277 · Fax (469) 995-7898
Phone(469) 602-5277
Fax(469) 995-7898
Organization SubpartNo
Authorized OfficialDeloris Renee HarwellPediatric Nurse Practitioner · (469) 602-5277
Enumeration DateDecember 17, 2018
Last NPPES UpdateMarch 12, 20203 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
✔ NPI 1609348580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
104 E US HIGHWAY 80 STE 190, Forney, TX 75126
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Other Identifiers 2

Medicaid407416301TX
Other407416302TX · Texas Health Steps

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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 45D2171050

Pediatric Kare Klinic, PLLC · Forney, TX
Active · expires Aug 25, 2027
CLIA Number45D2171050
Laboratory TypePractitioner Other
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorDeloris R. Harwell
Laboratory Phone(469) 602-5277
Laboratory LocationPediatric Kare Klinic, PLLC104 East Us Hwy 80, Suite 190, Forney, TX 75126
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 2

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

MRS. DELORIS RENEE HARWELL PNP-PC
Nurse Practitioner (Pediatrics)
104 E US HIGHWAY 80 STE 190
FORNEY, TX 75126
Kaufman County (469) 602-5277
MEGAN MARIE SIKES APRN
Nurse Practitioner
104 E US HIGHWAY 80 STE 190
FORNEY, TX 75126
Kaufman County (469) 602-5277

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 Pediatric Kare Klinic PLLC's NPI number?

The NPI number for Pediatric Kare Klinic PLLC is 1609348580. It was assigned to this organization in the NPPES registry on December 17, 2018.

Where is Pediatric Kare Klinic PLLC located?

Pediatric Kare Klinic PLLC is located at 104 E Us Highway 80 Ste 190, Forney, TX 75126. The listed phone number is (469) 602-5277.

What is Pediatric Kare Klinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Pediatric Kare Klinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2171050) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Kare Klinic PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Pediatric Kare Klinic 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 Pediatric Kare Klinic PLLC was last updated on March 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.