RIVERSIDE PEDATRICS PLLC
NPI 1821009705
Pediatrics in Elizabethton, TN

Active since August 10, 2006CLIA 44D0995967 · Waiver
1503 W ELK AVE STE 12, ELIZABETHTON, TN 37643(423) 547-9400(423) 547-9401 Get Directions Write a Review

NPPES record last updated: May 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Riverside Pedatrics Pllc NPPES

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

RIVERSIDE PEDATRICS PLLC (NPI 1821009705) is a healthcare organization registered as a pediatrics in Elizabethton, Tennessee and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through February 5, 2028 and lists Rachel M Hecht, President, as its authorized official.

NPPES Registry Identity

NPI1821009705
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameRIVERSIDE PEDATRICS PLLC
Location Address1503 W ELK AVE STE 12Elizabethton, TN 37643-2883
Mailing Address1503 W Elk Ave Ste 12Elizabethton, TN 37643-2883 · (423) 547-9400 · Fax (423) 547-9401
Fax(423) 547-9401
Organization SubpartNo
Authorized OfficialRachel M HechtPresident · (423) 547-9400
Enumeration DateAugust 10, 2006
Last NPPES UpdateMay 12, 2009
NPI 1821009705 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.
1503 W ELK AVE STE 12, Elizabethton, TN 37643

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 44D0995967

State Of Franklin Healthcare Dba Riverside Pediatrics · Elizabethton, TN
Active · expires Feb 5, 2028
CLIA Number44D0995967
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorDr. Tammy L. Kitchens
Laboratory Phone(423) 547-9400
Laboratory LocationState Of Franklin Healthcare Dba Riverside Pediatrics1503 West Elk Ave Ste 12, Elizabethton, TN 37643
CLIA data matches this NPI record on: Address 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.

Pediatrics
1503 W ELK AVE STE 12
ELIZABETHTON, TN 37643
Nurse Practitioner (Family)
1503 W ELK AVE STE 12
ELIZABETHTON, TN 37643
Physician Assistant
1503 W ELK AVE STE 12
ELIZABETHTON, TN 37643
Pediatrics
1503 W ELK AVE STE 12
ELIZABETHTON, TN 37643

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 Riverside Pedatrics PLLC's NPI number?

The NPI number for Riverside Pedatrics PLLC is 1821009705. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Riverside Pedatrics PLLC located?

Riverside Pedatrics PLLC is located at 1503 W Elk Ave Ste 12, Elizabethton, TN 37643. The listed phone number is (423) 547-9400.

What is Riverside Pedatrics PLLC's specialty?

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

Does Riverside Pedatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0995967) is associated with this NPI, valid through February 5, 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 Riverside Pedatrics PLLC was last updated on May 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.