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PEDIATRIC PROFESSIONALS
NPI 1710930490
Pediatrics in Lees Summit, MO

Active since May 17, 2006CLIA 26D1004168 · Waiver
258 NE TUDOR RD, LEES SUMMIT, MO 64086(816) 347-0303(816) 347-0160 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Professionals NPPES

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

PEDIATRIC PROFESSIONALS (NPI 1710930490) is a healthcare organization registered as a pediatrics in Lees Summit, Missouri and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Teresa M Brady, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1710930490
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC PROFESSIONALS
Location Address258 NE TUDOR RDLees Summit, MO 64086-5696
Mailing Address258 Ne Tudor RdLees Summit, MO 64086-5696 · (816) 347-0303 · Fax (816) 347-0160
Phone(816) 347-0303
Fax(816) 347-0160
Organization SubpartNo
Authorized OfficialTeresa M BradyOwner/physician · (816) 347-0303
Enumeration DateMay 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710930490 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.
258 NE TUDOR RD, Lees Summit, MO 64086
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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 26D1004168

Pediatric Professionals · Lees Summit, MO
Active · expires Sep 19, 2026
CLIA Number26D1004168
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorTeresa M. Brady
Laboratory Phone(816) 347-0303
Laboratory LocationPediatric Professionals310 NE Tudor Road, Lees Summit, MO 64086
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 4

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

HERB HALL DO
Family Medicine
258 NE TUDOR RD
LEES SUMMIT, MO 64086
Jackson County (816) 525-8086
DR. KATHERINE L KNAPP M.D.
Pediatrics
258 NE TUDOR RD
LEES SUMMIT, MO 64086
Jackson County (816) 347-0303
TERESA MAE BRADY
Pediatrics
258 NE TUDOR RD
LEES SUMMIT, MO 64086
Jackson County (816) 347-0303
DR. HERBERT E HALL III D.O.
Family Medicine
258 NE TUDOR RD
LEES SUMMIT, MO 64086
Jackson County (816) 525-8086

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 Professionals's NPI number?

The NPI number for Pediatric Professionals is 1710930490. It was assigned to this organization in the NPPES registry on May 17, 2006.

Where is Pediatric Professionals located?

Pediatric Professionals is located at 258 NE Tudor Rd, Lees Summit, MO 64086. The listed phone number is (816) 347-0303.

What is Pediatric Professionals's specialty?

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

Does Pediatric Professionals hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1004168) is associated with this NPI, valid through September 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Professionals was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.