Connie Island

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Practice address

14800 Memorial Dr Apt 2710
Houston, TX 77079-5221

Phone

(832) 758-6101

NPI assigned

Apr 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1932843695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14800 MEMORIAL DR APT 2710",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 MEMORIAL DR APT 2710",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795221",
            "telephone_number": "832-758-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAND",
        "first_name": "CONNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cisland@wellmed.net",
            "affiliation": "N",
            "address_1": "14800 Memorial Dr Apt 2710",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770795221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kauser Parveen Islam, PHARMD
• Momin Islam, MD
• Nazia Islam, LPC-S
• Sheikh Jahidul Islam, MD
• Island Glo Aesthetics & Primary Care PLLC
• Tanya Griselle Island, CRNA
• Rowela B Islas, PT
• Steven Islas, PT, DPT, SCS
• Omar Fawzi Ismael, DDS
• Abrar Ismail, M.D.

• Mobile Radiology Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Mobile Radiology Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.