Strawberry Lane

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

209506 Issued in TX

Legal business name

STRAWBERRY LANE

Practice address

417 Oakland LN
Conroe, TX 77302-1216

Phone

(936) 355-1272

NPI assigned

Jan 17, 2012

Last updated

Jan 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tammy Baldwin

Title

Cota

Phone

(936) 355-1272

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1497026827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 OAKLAND LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773021216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 OAKLAND LN",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773021216",
            "telephone_number": "936-355-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAWBERRY LANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "COTA",
        "authorized_official_telephone_number": "936-355-1272"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "209506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Stoffer
• Nikki Stone, PTA
• Kevin Stovall, MS, RD, LD
• Suzanne Marie Stovall, D.O.
• Mary Angela Strahan
• Danielle Nicole Strelec, BS, RN
• Ancuta Abigail Striblea, FNP
• Royce E Strickland, DDS
• Richard Anthony Stringer, CSFA
• Melanie Sturm

• Skilled Nursing Facility in Conroe, TX
• Providers in Conroe, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.