Dr Kristen Innes

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

M2658 Issued in TX

Legal business name

DR KRISTEN INNES

Practice address

3880 Parkwood Blvd
Suite 403
Frisco, TX 75034-1928

Phone

(214) 618-2802

Fax

(214) 618-3208

NPI assigned

Aug 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kristen Nelson Innes

Title

Doctor

Phone

(214) 618-2802

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1396938593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 PARKWOOD BLVD",
            "address_2": "SUITE 403",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341928",
            "telephone_number": "214-618-2802",
            "fax_number": "214-618-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 PARKWOOD BLVD",
            "address_2": "SUITE 403",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341928",
            "telephone_number": "214-618-2802",
            "fax_number": "214-618-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KRISTEN INNES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "INNES",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "214-618-2802",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "M2658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Frisco, TX
• Providers in Frisco, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.