Active NPI
Kristina M Scroggins, CSFA
- Surgical Assistant
- Manor, TX
National Provider Identifier
1548422926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 11613 Sun Glide LN
Manor, TX 78653 - Phone
- (512) 470-2091
- Fax
- (512) 272-9217
- NPI assigned
- Jun 27, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 133652 | TX | |
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
11613 Sun Glide LN
Manor, TX 78653
Mailing address
11613 Sun Glide LN
Manor, TX 78653-3779
Phone (512) 470-2091
Other practice location 1
7324 Southwest Fwy Ste 1550
Houston, TX 77074-2053
Phone (713) 779-9800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133652 | TX | MD | Surgical Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River City Assisting, LLC | Surgical Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Assistant
- Fredericksburg, TX
- NPI 1891160032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1548422926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11613 SUN GLIDE LN",
"city": "MANOR",
"state": "TX",
"postal_code": "786533779",
"telephone_number": "512-470-2091",
"fax_number": "512-272-9217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11613 SUN GLIDE LN",
"city": "MANOR",
"state": "TX",
"postal_code": "78653",
"telephone_number": "512-470-2091",
"fax_number": "512-272-9217"
}
],
"practiceLocations": [
{
"address_1": "7324 Southwest Fwy Ste 1550",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770742053",
"country_code": "US",
"telephone_number": "713-779-9800",
"fax_number": "713-779-9813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCROGGINS",
"first_name": "KRISTINA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CSFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-27",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "TX",
"license": "133652",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.