Individual provider Active NPI

Kimberland Dell Terrell Labuff, CSA

  • Surgical Assistant
  • Sugar Land, TX
National Provider Identifier
1235110297
Registry record updated May 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
CSA# 2635 Issued in TX
Practice address
1 Sugar Creek Center Blvd Ste 850
Sugar Land, TX 77478-4087
Phone
(832) 655-4141
Fax
(713) 457-5188
NPI assigned
Nov 8, 2005
Last updated
May 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X CSA# 2635 TX Primary
Surgical Technologist 246ZS0410X CSA # 2635 TX

Addresses

Primary practice location

1 Sugar Creek Center Blvd Ste 850
Sugar Land, TX 77478-4087

Mailing address

1 Sugar Creek Center Blvd Ste 850
Sugar Land, TX 77478-4087
Phone (832) 655-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSA# 2635TXMDSurgical Assistant
CSA # 2635TXMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Surgical Partners Surgical Technologist Past Accepting new patients
Sienna Practitioners PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430611200000",
    "number": "1235110297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK CENTER BLVD STE 850",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784087",
            "telephone_number": "832-655-4141",
            "fax_number": "713-457-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK CENTER BLVD STE 850",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784087",
            "telephone_number": "832-655-4141",
            "fax_number": "713-457-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL LABUFF",
        "first_name": "KIMBERLAND",
        "middle_name": "DELL",
        "name_prefix": "Mrs.",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2015-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "CSA# 2635",
            "primary": true
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "CSA # 2635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2015; 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.