Provider Demographics
NPI:1508174558
Name:KIDS HEALTH FIRST PEDIATRICS
Entity Type:Organization
Organization Name:KIDS HEALTH FIRST PEDIATRICS
Other - Org Name:AFFINITY HEALTHCARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATEESA
Authorized Official - Middle Name:
Authorized Official - Last Name:POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:615-829-8380
Mailing Address - Street 1:PO BOX 331666
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-7516
Mailing Address - Country:US
Mailing Address - Phone:615-829-8380
Mailing Address - Fax:615-815-1454
Practice Address - Street 1:5532 EULALA DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-6145
Practice Address - Country:US
Practice Address - Phone:615-829-8380
Practice Address - Fax:615-815-1454
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIDS HEALTH FIRST PEDIATRICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-23
Last Update Date:2011-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7996261QM1300X, 363LP0200X
TN15288363LW0102X
TN14364367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty