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SUMMIT PEDIATRICS, LLC
NPI 1700151818
Clinic/Center in Lees Summit, MO

Active since March 21, 2012CLIA 26D0708630 · Waiver
3171 NE CARNEGIE DR, SUITE A, LEES SUMMIT, MO 64064(816) 525-2800(816) 525-4077 Get Directions Write a Review

NPPES record last updated: April 26, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Summit Pediatrics, Llc NPPES

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

SUMMIT PEDIATRICS, LLC (NPI 1700151818) is a healthcare organization registered as a clinic/center in Lees Summit, Missouri and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Tamara L Peterson, General Pediatrician/manager, as its authorized official.

NPPES Registry Identity

NPI1700151818
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSUMMIT PEDIATRICS, LLC
Location Address3171 NE CARNEGIE DR, SUITE ALees Summit, MO 64064-3215
Mailing Address3171 Ne Carnegie Dr, Suite ALees Summit, MO 64064-3215 · (816) 525-2800 · Fax (816) 525-4077
Phone(816) 525-2800
Fax(816) 525-4077
Organization SubpartNo
Authorized OfficialTamara L PetersonGeneral Pediatrician/manager · (816) 525-2800
Enumeration DateMarch 21, 2012
Last NPPES UpdateApril 26, 2016
✔ NPI 1700151818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MO · 2008015364
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3171 NE CARNEGIE DR, Lees Summit, MO 64064
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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 26D0708630

Summit Pediatrics, LLC · Lees Summit, MO
Active · expires Aug 31, 2028
CLIA Number26D0708630
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorTamara L. Peterson
Laboratory Phone(816) 525-2800
Laboratory LocationSummit Pediatrics, LLC3171 NE Carnegie Drive, Ste A, Lees Summit, MO 64064
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.

OMEGA HEALTH CARE OF NORTHWEST MISSOURI, INC.
Hospice Care, Community Based
3171 NE CARNEGIE DR
LEES SUMMIT, MO 64064
Jackson County (816) 268-4130
DR. QUYEN DAM M.D.
Pediatrics
3171 NE CARNEGIE DR, SUITE A
LEES SUMMIT, MO 64064
Jackson County (816) 525-2800
DR. TAMARA LEE PETERSON D.O.
Pediatrics
3171 NE CARNEGIE DR, SUITE A
LEES SUMMIT, MO 64064
Jackson County (816) 525-2800
MRS. AMY D PHILLIPS C.P.N.P.
Nurse Practitioner (Pediatrics)
3171 NE CARNEGIE DR, SUITE A
LEES SUMMIT, MO 64064
Jackson County (816) 525-2800

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 Summit Pediatrics, LLC's NPI number?

The NPI number for Summit Pediatrics, LLC is 1700151818. It was assigned to this organization in the NPPES registry on March 21, 2012.

Where is Summit Pediatrics, LLC located?

Summit Pediatrics, LLC is located at 3171 NE Carnegie Dr Suite A, Lees Summit, MO 64064. The listed phone number is (816) 525-2800.

What is Summit Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Summit Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0708630) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Summit Pediatrics, LLC was last updated on April 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.