Harris County Emergency Services District No.5

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

101274 Issued in TX

Legal business name

HARRIS COUNTY EMERGENCY SERVICES DISTRICT NO.5

Practice address

5915 FM 2100 Rd
Crosby, TX 77532-5615

Phone

(281) 328-6810

Fax

(281) 328-9992

NPI assigned

Jun 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Christy Sanders Graves, EMT-P

Title

General Manager

Phone

(281) 328-6810

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821036831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1604",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775321604",
            "telephone_number": "281-328-6810",
            "fax_number": "281-328-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 FM 2100 RD",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775325615",
            "telephone_number": "281-328-6810",
            "fax_number": "281-328-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS COUNTY EMERGENCY SERVICES DISTRICT NO.5",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "SANDERS",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "281-328-6810",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "101274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10007091",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "AMB620",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolette T. Gilmore, O.D.
• Lauren Nicole Golden, DDS
• Javier Gomez
• Sandy Gonzalez, FNP-C
• Darrell Alton Griffin, MD
• Harris County Public Health & Environmental Services- Riley Chambers (Harris County - Riley Chambers Center)
• Jo Robin Harris Szabo, OD
• Yiying He
• Karen Heisler, PT
• Judson Sandford Henderson, M.D

• Land Ambulance in Crosby, TX
• Providers in Crosby, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.