Organization Active NPI

Texas Tech Early Head Start

  • Voluntary or Charitable Agency
  • Lubbock, TX
National Provider Identifier
1336406065
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
TEXAS TECH EARLY HEAD START
Practice address
515 N Zenith Ave
Lubbock, TX 79403-3610
Phone
(806) 765-2737
Fax
(806) 765-2735
NPI assigned
Apr 19, 2012
Last updated
Apr 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Dr. Stephanie Shine
Title
Executive Director
Phone
(806) 742-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

515 N Zenith Ave
Lubbock, TX 79403-3610

Mailing address

515 N Zenith Ave
Lubbock, TX 79403-3610
Phone (806) 765-2737

National Provider Directory

National Provider Directory

Locations

515 N Zenith Ave
Lubbock, TX 79403
Phone (806) 765-2737

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1336406065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N ZENITH AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794033610",
            "telephone_number": "806-765-2737",
            "fax_number": "806-765-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N ZENITH AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794033610",
            "telephone_number": "806-765-2737",
            "fax_number": "806-765-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS TECH EARLY HEAD START",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "SHINE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "806-742-3200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.