The Imunization Clinic

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

559388 Issued in TX

Legal business name

THE IMUNIZATION CLINIC

Practice address

440 Benmar Dr
Suite 3020
Houston, TX 77060-3165

Phone

(281) 260-6600

Fax

(281) 260-6603

NPI assigned

Oct 19, 2007

Last updated

Jan 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Karen A. Smiley, R.N.NPI 1669549267

Title

Administrator/Owner

Phone

(281) 260-6600

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Ann Smiley, R.N.

  • Registered Nurse
  • Houston, TX
  • NPI 1669549267
  Authorized official Same address or phone

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1184813727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 BENMAR DR",
            "address_2": "SUITE 3020",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603165",
            "telephone_number": "281-260-6600",
            "fax_number": "281-260-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 BENMAR DR",
            "address_2": "SUITE 3020",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603165",
            "telephone_number": "281-260-6600",
            "fax_number": "281-260-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IMUNIZATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "281-260-6600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "559388",
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174069801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018056401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Institute for Rehabilitation and Research (TIRR Neuropsych Group)

• Registered Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.