NPIMap

Organization Active NPI

Scott and White Healthcare

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Killeen, TX
National Provider Identifier
1487092755
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
DT 80613 Issued in TX
Legal business name
SCOTT AND WHITE HEALTHCARE
Practice address
2201 S W S Young Dr Ste 101B
Killeen, TX 76543-5316
Phone
(254) 501-6471
Fax
(254) 501-6480
NPI assigned
Jun 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Authorized official

Name
Sherry Perry, RN, CDN
Title
Dialysis Manager
Phone
(254) 724-6005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X DT 80613 TX Primary

Addresses

Primary practice location

2201 S W S Young Dr Ste 101B
Killeen, TX 76543-5316

Mailing address

2201 S W S Young Dr Ste 101B
Killeen, TX 76543-5316
Phone (254) 501-6471

Other identifiers 1

IdentifierTypeStateIssuer
DT80613OtherTXTEXAS BOARD OF EXAMINERS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1487092755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S W S YOUNG DR STE 101B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435316",
            "telephone_number": "254-501-6471",
            "fax_number": "254-501-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S W S YOUNG DR STE 101B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435316",
            "telephone_number": "254-501-6471",
            "fax_number": "254-501-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT AND WHITE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "DIALYSIS MANAGER",
        "authorized_official_telephone_number": "254-724-6005",
        "authorized_official_credential": "RN, CDN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "TX",
            "license": "DT 80613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF EXAMINERS",
            "identifier": "DT80613",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.