Active NPI
Rima Kittley, MD
- Family Medicine Physician
- Lufkin, TX
National Provider Identifier
1497861454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J7018
- Legal business name
- RIMA KITTLEY, MD
- Practice address
- 1501 Hanks St
Ste B
Lufkin, TX 75904-5411 - Phone
- (936) 634-5699
- Fax
- (936) 634-5659
- NPI assigned
- Aug 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rima Z Kittley, MD
- Title
- Owner
- Phone
- (936) 634-5699
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J7018 | TX | Primary |
Addresses
Primary practice location
1501 Hanks St
Ste B
Lufkin, TX 75904-5411
Mailing address
PO Box 152405
Lufkin, TX 75915-2405
Phone (936) 634-5699
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161159202 | Medicaid | TX | |
| 8X6840 | Other | TX | BCBS |
| 0070PG | Other | TX | BCBS GROUP |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1018391 | Rima Kittley, MD | Provider-performed microscopy | Oct 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
1105 W Frank Ave
Ste 260
Lufkin, TX 75904
Phone (936) 634-5699
1501 Hanks St
#B
Lufkin, TX 75904
Phone (936) 634-5699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419984000000",
"number": "1497861454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 152405",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759152405",
"telephone_number": "936-634-5699",
"fax_number": "936-634-5659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HANKS ST",
"address_2": "STE B",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759045411",
"telephone_number": "936-634-5699",
"fax_number": "936-634-5659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIMA KITTLEY, MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2014-12-31",
"status": "A",
"authorized_official_last_name": "KITTLEY",
"authorized_official_first_name": "RIMA",
"authorized_official_middle_name": "Z",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "936-634-5699",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "J7018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161159202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8X6840",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "0070PG",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.