NPI age
10 years
Enumerated 2015-07-23
● Active Type 2 · Organization
Pediaq
Pediaq is 1 of 2256 nurse practitioner organizations in Texas.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Medical Director
Last NPPES update
2015-07-23
Source: monthly bulk 2026-05
How this organization compares
Across 2256 active nurse practitioner providers in Texas.
NPI age
10 years
≈ at median (10 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-07Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
17101 Preston Rd, Ste 115
Dallas, TX 752481331
Mailing address
17101 Preston Rd, Ste 115
Dallas, TX 752481331
Authorized official
Frederick Johnson, DO
Medical Director
📞 2149843900
Individual providers at this organization
6 individual providers on file at this primary practice address.
- Brandon Bonds, D.C. Chiropractor NPI 1881616860
- Leticia Garceau, LPC , CSAT CANDIDATE Counselor NPI 1508422577
- Keli Jones, M.D., P.A Obstetrics & Gynecology NPI 1093845349
- Jeannette Kilgard, PA-C Physician Assistant NPI 1992013239
- Megan Rosewell Counselor NPI 1376433235
- Kelly Wimberly, MD Family Medicine NPI 1053330803
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Multi-provider organization. 6 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.