NPI age
— years
Enumerated 2025-10-01
● Active Type 2 · Organization
Kidsville Pediatrics Southlake Pllc
Kidsville Pediatrics Southlake Pllc is 1 of 383 pediatrics organizations in Texas.
Primary specialty
Pediatrics
Plus 5 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shah
Executive Manager
Last NPPES update
2025-10-02
Source: monthly bulk 2026-05
How this organization compares
Across 383 active pediatrics providers in Texas.
NPI age
0 years
↓ 16 yr below median
Practice locations
1
0 secondary on file
Subspecialties
5
In the 58% of peers with subspecialties
NPI lifetime · 2025 → 2026
2025-10Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
2813 W Southlake Blvd Ste 100
Southlake, TX 760926832
Mailing address
2813 W Southlake Blvd Ste 100
Southlake, TX 760926832
Authorized official
Ali Shah
Executive Manager
📞 6823458010
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Obinna Emechebe-Kennedy, M.D., PHARM.D. Anesthesiology NPI 1053522557
- Stephanie Griffin, NP Nurse Practitioner NPI 1548929458
- Alexandra Guiboux, DNP, CPNP-PC Nurse Practitioner NPI 1811871122
- Nathan Mahanirananda, PA-C Physician Assistant NPI 1952805848
Specialties
-
Pediatrics PrimaryA pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both...
-
Nurse PractitionerDefinition to come...
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Nurse PractitionerDefinition to come...
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PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
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Respiratory Therapist, CertifiedAn individual who is trained and qualified to perform pulmonary diagnostic tests. In the course of conducting these tests, the Pulmonary Function Technologist is able to setup, calibrate, maintain, and ensure the quality assurance of...
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- 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.