Active NPI
Catherine Killinger Quinn, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Waller, TX
National Provider Identifier
1851736896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 2621
- Practice address
- 33518 Haley Rd
Suite 1
Waller, TX 77484-5110 - Phone
- (832) 600-1048
- NPI assigned
- May 3, 2013
- Last updated
- Jan 27, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 2621 | TX | Primary |
Addresses
Primary practice location
33518 Haley Rd
Suite 1
Waller, TX 77484-5110
Mailing address
33518 Haley Rd
Suite 1
Waller, TX 77484-5110
Phone (832) 600-1048
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 |
|---|---|---|---|
| 2621 | TX | MD | Electroneurodiagnostic Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlas Neurophysiological Assessment | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Atlas Neurophysiological Assessment LLC
- Electrodiagnostic Medicine Physician
- Richardson, TX
- NPI 1407142235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1851736896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33518 HALEY RD",
"address_2": "SUITE 1",
"city": "WALLER",
"state": "TX",
"postal_code": "774845110",
"telephone_number": "832-600-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33518 HALEY RD",
"address_2": "SUITE 1",
"city": "WALLER",
"state": "TX",
"postal_code": "774845110",
"telephone_number": "832-600-1048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "CATHERINE",
"middle_name": "KILLINGER",
"credential": "CNIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-03",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "TX",
"license": "2621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.