Kids Avenue Pediatrics LLC
NPI 1154092690ActiveOrganization· Nurse Practitioner· Brandon, MS
Nurse Practitioner in Brandon, Mississippi, registered in NPPES in September 2021. The authorized official on file is April Dawn Randle, FNP, Administrator.
Overview
| NPI | 1154092690 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2021 |
| Last updated in NPPES | Sep 24, 2021 |
| Certified by provider | Sep 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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