Active NPI
Heather Renee Grizzle, RPA/RA (CBRPA)
- Radiology Practitioner Assistant
- Houston, TX
National Provider Identifier
1346482999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- License
- 06TX1191
- Practice address
- 1313 Hermann Dr
Houston, TX 77004-7005 - Phone
- (713) 527-5188
- Fax
- (713) 285-1364
- NPI assigned
- Mar 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Practitioner Assistant | 243U00000X | 06TX1191 | TX | Primary |
Addresses
Primary practice location
1313 Hermann Dr
Houston, TX 77004-7005
Mailing address
616 County Road 44
Angleton, TX 77515-7834
Phone (979) 864-4775
Other names 1
- Heather Renee Smith
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06TX1191 | TX | MD | Radiology Practitioner Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238198400000",
"number": "1346482999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 COUNTY ROAD 44",
"city": "ANGLETON",
"state": "TX",
"postal_code": "775157834",
"telephone_number": "979-864-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 HERMANN DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770047005",
"telephone_number": "713-527-5188",
"fax_number": "713-285-1364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIZZLE",
"first_name": "HEATHER",
"middle_name": "RENEE",
"credential": "RPA/RA (CBRPA)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-28",
"last_updated": "2009-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": "TX",
"license": "06TX1191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "SMITH",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.