OrganizationActive
Fremont Pediatric, Adolescent and Young Adult Medicine, LLC.
NPI 1558550368 · Clinic/Center · Fremont, NE
Provider details
- NPI number
- 1558550368
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Terry Wooldridge, Owner(402) 727-5500
- License
- 18159 (NE)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
220 E 22nd St
Fremont, NE 68025-2606
Phone: (402) 727-5500
Fax: (402) 727-6047
Street-level locationGet directions
Mailing address
220 E 22nd St
Fremont, NE 68025-2606
Other names (DBA / former)
- Doing business as
- Kid Care
Registry dates
- Enumerated
- 2007-10-17
- Last updated
- 2014-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.