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CHILDRENS CLINIC
NPI 1629102389
Pediatrics in Crestview, FL

Active since March 15, 2007CLIA 10D0897641 · Waiver
160 E REDSTONE AVE, CRESTVIEW, FL 32539(850) 689-0555(850) 689-3531 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Childrens Clinic NPPES

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

CHILDRENS CLINIC (NPI 1629102389) is a healthcare organization registered as a pediatrics in Crestview, Florida and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 20, 2027 and lists Enrique Lujan, Md Owner, as its authorized official.

NPPES Registry Identity

NPI1629102389
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameENRIQUE LUJAN
Location Address160 E REDSTONE AVECrestview, FL 32539-5348
Mailing Address160 E Redstone AveCrestview, FL 32539-5348 · (850) 689-0555 · Fax (850) 689-3531
Phone(850) 689-0555
Fax(850) 689-3531
Organization SubpartNo
Authorized OfficialEnrique LujanMd Owner · (850) 689-0555
Enumeration DateMarch 15, 2007
Last NPPES UpdateMarch 28, 2014
✔ NPI 1629102389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
160 E REDSTONE AVE, Crestview, FL 32539
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Other Names 1

Doing Business AsChildrens Clinic

Group Practice 1

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

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 10D0897641

Childrens Clinic · Crestview, FL
Active · expires Dec 20, 2027
CLIA Number10D0897641
Laboratory TypePhysician Office
Certificate Effective DateDecember 21, 2025
Certificate Expiration DateDecember 20, 2027
Laboratory DirectorSharon H. Rosenberg
Laboratory Phone(850) 689-0555
Laboratory LocationChildrens Clinic160 E Redstone Ave, Crestview, FL 32539
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 4

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

MRS. LESLIE ANN ROSSLEY ARNP, CPNP
Nurse Practitioner (Pediatrics)
160 E REDSTONE AVE
CRESTVIEW, FL 32539
Okaloosa County (850) 689-0555
DR. SHARON ROSENBERG MD
Pediatrics
160 E REDSTONE AVE
CRESTVIEW, FL 32539
Okaloosa County (850) 689-0555
J. ENRIQUE LUJAN M.D.
Pediatrics
160 E REDSTONE AVE
CRESTVIEW, FL 32539
Okaloosa County (850) 689-0555
MS. TRACY DAWN LOGSDON CPNP
Nurse Practitioner (Pediatrics)
160 E REDSTONE AVE
CRESTVIEW, FL 32539
Okaloosa County (850) 689-0555

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 Enrique Lujan's NPI number?

The NPI number for Enrique Lujan is 1629102389. It was assigned to this organization in the NPPES registry on March 15, 2007. The provider is doing business as Childrens Clinic.

Where is Enrique Lujan located?

Enrique Lujan is located at 160 E Redstone Ave, Crestview, FL 32539. The listed phone number is (850) 689-0555.

What is Enrique Lujan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Enrique Lujan hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0897641) is associated with this NPI, valid through December 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Enrique Lujan was last updated on March 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.