Jackson Pediatric Associates, LLC
NPI 1912335530 · Pediatrics Physician · Jackson, WY
Jackson Pediatric Associates, LLC is a Pediatrics Physician organization in Jackson, WY (NPI 1912335530).
Provider details
- NPI number
- 1912335530
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Travis Riddell, Pediatrician(307) 733-4627
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Other names (DBA / former)
- Doing business as
- Jackson Pediatrics
Registry dates
- Enumerated
- 2013-10-16
- Last updated
- 2013-10-16
Frequently asked questions
- What is Jackson Pediatric Associates, LLC's NPI number?
- Jackson Pediatric Associates, LLC's National Provider Identifier (NPI) is 1912335530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Pediatric Associates, LLC?
- Jackson Pediatric Associates, LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Pediatric Associates, LLC located?
- Jackson Pediatric Associates, LLC's practice location on file with NPPES is 557 E Broadway Ave, Jackson, WY 83001-8640.
- What is Jackson Pediatric Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Pediatric Associates, LLC is (307) 733-4627.
- Who is the authorized official for Jackson Pediatric Associates, LLC?
- The authorized official listed on Jackson Pediatric Associates, LLC's NPPES record is Travis Riddell, Pediatrician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Pediatric Associates, LLC's NPI active?
- Yes — Jackson Pediatric Associates, LLC's NPI (1912335530) is active in the NPPES registry as of the last update on 2013-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.