Organization Active NPI

Harker Heights Allergy

  • Allergy & Immunology Physician
  • Harker Heights, TX
National Provider Identifier
1730438631
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
HARKER HEIGHTS ALLERGY
Practice address
2025 Memory LN
Ste 400a
Harker Heights, TX 76548-7487
Phone
(542) 793-3842
NPI assigned
Sep 6, 2012
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Ms. Candice Kennon, MHA
Title
Practice MGR
Phone
(512) 732-2774

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Allergy & Immunology Physician 207K00000X NU Primary

Addresses

Primary practice location

2025 Memory LN
Ste 400a
Harker Heights, TX 76548-7487

Mailing address

303 E Main St
Round Rock, TX 78664-5246
Phone (512) 732-2774

Other practice location 1

2027 S 61st St Ste 108
Temple, TX 76504-6856
Phone (254) 279-3384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130404000296 TX Part B Supplier - Clinic/Group Practice 6709021272 Receives reassigned benefits from 7 practitioners
Practice locations: Killeen, TX; Temple, TX

National Provider Directory

National Provider Directory

Locations

2027 S 61st St
Ste 108
Temple, TX 76504
Phone (254) 279-3384

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1730438631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MAIN ST",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645246",
            "telephone_number": "512-732-2774",
            "fax_number": "855-959-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 MEMORY LN",
            "address_2": "STE 400A",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765487487",
            "telephone_number": "542-793-3842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2027 S 61st St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765046856",
            "country_code": "US",
            "telephone_number": "254-279-3384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARKER HEIGHTS ALLERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "KENNON",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "PRACTICE MGR",
        "authorized_official_telephone_number": "512-732-2774",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.