Active NPI
Kristin Bussey-Smith MD PA
- Allergy & Immunology (Internal Medicine) Physician
- San Antonio, TX
National Provider Identifier
1922128172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- M5080
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | M5080 | TX | |
| Allergy Physician | 207KA0200X | M5080 | TX | |
| Internal Medicine Physician | 207R00000X | M5080 | TX | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | M5080 | TX | Primary |
| Rheumatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191305501 | Medicaid | TX |
Other names 1
- Allergy, Asthma, Immunology & Rheumatology Institute (AAiR)
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1083036 | Allergy Asthma Immunology and | Certificate of waiver | Apr 23, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.