Organization Active NPI

Rima Kittley, MD

  • Family Medicine Physician
  • Lufkin, TX
National Provider Identifier
1497861454
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J7018 Issued in TX
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

Updated by the provider on Dec 31, 2014

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
161159202MedicaidTX
8X6840OtherTXBCBS
0070PGOtherTXBCBS GROUP

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1018391Rima Kittley, MD1501 Hanks Street, Ste B, Lufkin, TX 75904Provider-performed microscopyOct 20, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.