Organization
IMAGINE PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH TAYLOR BEERY (CHIEF ADMIN. OFFICER (CAO))
(504) 470-4140
Entity
Organization
Contact information
Practice address
3200 SOUTHWEST FWY STE 2100, HOUSTON, TX 77027-7525
(833) 208-7770
Mailing address
750 OLD HICKORY BLVD STE 140, BRENTWOOD, TN 37027-4556
(504) 470-4140
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
1835P0200X
Pediatric Pharmacist
—
—
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0222X
Critical Care Pediatric Nurse Practitioner
—
—
Other
Enumeration date
06/23/2022
Last updated
07/10/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up