Organization Active NPI

Kristin Bussey-Smith MD PA

  • Allergy & Immunology (Internal Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1922128172
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
M5080 Issued in TX
Legal business name
KRISTIN BUSSEY-SMITH MD PA
Practice address
19260 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-3365
Phone
(210) 495-4335
Fax
(210) 587-7415
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Dr. Kristin Louise Bussey-Smith, M.D.
Title
President
Phone
(210) 495-4335

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X M5080 TX
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X M5080 TX
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X M5080 TX
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X M5080 TX Primary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X M5080 TX

Addresses

Primary practice location

19260 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-3365

Mailing address

19260 Stone Oak Pkwy
Suite 101
San Antonio, TX 78258-3365
Phone (210) 495-4335

Other identifiers 1

IdentifierTypeStateIssuer
191305501MedicaidTX

Other names 1

  • Allergy, Asthma, Immunology & Rheumatology Institute (AAiR) Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1083036Allergy Asthma Immunology and19260 Stone Oak Parkway Ste 101, San Antonio, TX 78258Certificate of waiverApr 23, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1922128172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19260 STONE OAK PKWY",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583365",
            "telephone_number": "210-495-4335",
            "fax_number": "210-587-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19260 STONE OAK PKWY",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583365",
            "telephone_number": "210-495-4335",
            "fax_number": "210-587-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN BUSSEY-SMITH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "BUSSEY-SMITH",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-495-4335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "M5080",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "M5080",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M5080",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "TX",
            "license": "M5080",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "M5080",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191305501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy, Asthma, Immunology & Rheumatology Institute (AAiR)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.