Kids Avenue Pediatrics LLC
NPI 1154092690 · Nurse Practitioner · Brandon, MS
Kids Avenue Pediatrics LLC is a Nurse Practitioner organization in Brandon, MS (NPI 1154092690).
Provider details
- NPI number
- 1154092690
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- April Randle, Administrator(601) 941-0699
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-24
- Last updated
- 2021-09-24
- Certified
- 2021-09-23
Frequently asked questions
- What is Kids Avenue Pediatrics LLC's NPI number?
- Kids Avenue Pediatrics LLC's National Provider Identifier (NPI) is 1154092690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kids Avenue Pediatrics LLC?
- Kids Avenue Pediatrics LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kids Avenue Pediatrics LLC located?
- Kids Avenue Pediatrics LLC's practice location on file with NPPES is 1061 Lake Village Cir Ste D1, Brandon, MS 39047-6723.
- What is Kids Avenue Pediatrics LLC's phone number?
- The practice phone number listed in the NPPES registry for Kids Avenue Pediatrics LLC is (601) 941-0699.
- Who is the authorized official for Kids Avenue Pediatrics LLC?
- The authorized official listed on Kids Avenue Pediatrics LLC's NPPES record is April Randle, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kids Avenue Pediatrics LLC's NPI active?
- Yes — Kids Avenue Pediatrics LLC's NPI (1154092690) is active in the NPPES registry as of the last update on 2021-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.