Active NPI
Katie Marie Hallahan, M.D.
- Ophthalmology Physician
- Houston, TX
National Provider Identifier
1417249194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2018-02831
- Practice address
- 6565 Fannin St
Nc205
Houston, TX 77030-2703 - Phone
- (713) 798-5143
- NPI assigned
- May 12, 2011
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2018-02831 | NC | Primary |
Addresses
Primary practice location
6565 Fannin St
Nc205
Houston, TX 77030-2703
Mailing address
1507 Westover Ter
Ste C
Greensboro, NC 27408-7121
Phone (336) 274-7771
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-02831 | NC | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1417249194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 WESTOVER TER",
"address_2": "STE C",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087121",
"telephone_number": "336-274-7771",
"fax_number": "336-274-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 FANNIN ST",
"address_2": "NC205",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302703",
"telephone_number": "713-798-5143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLAHAN",
"first_name": "KATIE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-12",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "2018-02831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.