Individual provider Active NPI

Heather Renee Grizzle, RPA/RA (CBRPA)

  • Radiology Practitioner Assistant
  • Houston, TX
National Provider Identifier
1346482999
Registry record updated Mar 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
06TX1191 Issued in TX
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

Updated by the provider on Mar 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
06TX1191TXMDRadiology 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.

Verify at the official NPI Registry.