City of League City

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000148 Issued in TX

Legal business name

CITY OF LEAGUE CITY

Practice address

555 W Walker St
League City, TX 77573-3853

Phone

(281) 554-1207

NPI assigned

Jan 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole Smith

Title

Assistant Fire Chief

Phone

(281) 554-1207

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1063567576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958269110",
            "telephone_number": "916-381-6552",
            "fax_number": "916-381-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W WALKER ST",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733853",
            "telephone_number": "281-554-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LEAGUE CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "ASSISTANT FIRE CHIEF",
        "authorized_official_telephone_number": "281-554-1207"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202903502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Swati Choudhary, MD
• Nicole A Christians, MD
• Christine Dolson D.D.S., P.a.
• Chronic Pain Institute
• Kayla Cisneros
• Jennifer Rae Clark, CPNP-PC
• Natalie Elizabeth Clarkson, PHARMD
• Clear Creek Chiropractic Center
• Clear Creek Clinic,P.a.
• Clear Creek Counseling Center

• Land Ambulance in League City, TX
• Providers in League City, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.