Redwood Family Health Center PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REDWOOD FAMILY HEALTH CENTER PA

Practice address

5971 Virginia Pkwy Ste 100
McKinney, TX 75071-5618

Phone

(972) 791-8301

Fax

(469) 678-7312

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Claudia Palencia

Title

Credentialing Assistant

Phone

(847) 410-5705

Specialties & licenses 1

Addresses

Other names 1

• Redwood Family Health Center Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24096/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603584000000",
    "number": "1659997229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5971 VIRGINIA PKWY STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715618",
            "telephone_number": "972-791-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5971 VIRGINIA PKWY STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715618",
            "telephone_number": "972-791-8301",
            "fax_number": "469-678-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD FAMILY HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A",
        "authorized_official_last_name": "PALENCIA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "CREDENTIALING ASSISTANT",
        "authorized_official_telephone_number": "847-410-5705",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "-",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "-",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "-",
            "address_1": "2301 Virginia Pkwy Ste 100",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750713505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Redwood Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Redwood Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunil Kumar Chillakuru Reddy, M.D.
• Ronnie Todd Redfearn, D.C.
• Elen Redford, CRC, LPC, LCDC
• Rediclinic US, LLC
• Torrie D Redwine, LPC
• Phadria Enrika Reed, LCDC, PLPC
• Reflections Counseling of McKinney
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• Reform Chiropractic LLC
• Reformed Clarity

• Family Medicine Physician in McKinney, TX
• Providers in McKinney, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.