NPIMap

Organization Active NPI

Herrin Pediatric Clinic-PA

  • Pediatrics Physician
  • Conroe, TX
National Provider Identifier
1871833251
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HERRIN PEDIATRIC CLINIC-PA
Practice address
601 River Pointe Dr.
Ste 120
Conroe, TX 77304-2943
Phone
(936) 788-6060
Fax
(936) 788-6061
NPI assigned
Feb 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Kathi Herrin
Title
Manager
Phone
(936) 788-6060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

601 River Pointe Dr.
Ste 120
Conroe, TX 77304-2943

Mailing address

601 River Pointe Dr.
Ste 120
Conroe, TX 77304-2943

National Provider Directory

National Provider Directory

Locations

601 River Pointe Dr
Ste 120
Conroe, TX 77304
Phone (936) 788-6060

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1871833251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 RIVER POINTE DR.",
            "address_2": "STE 120",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 RIVER POINTE DR.",
            "address_2": "STE 120",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042943",
            "telephone_number": "936-788-6060",
            "fax_number": "936-788-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERRIN PEDIATRIC CLINIC-PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "HERRIN",
        "authorized_official_first_name": "KATHI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "936-788-6060"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.