LANE K KIMBROUGH (NPI# 1780836171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780836171 |
| Entity Type | Individual |
| Full Name | LANE K KIMBROUGH |
| Credential | LO |
| Practice Address |
2525 W. Bellfort Suite 150 Houston TX 77054 |
| Mailing Address |
7401 S. Main Houston TX 77030 |
| Practice Telephone | 7133499335 |
| Practice Fax Number | 7133498433 |
| Mailing Telephone | 7137992300 |
| Mailing Fax Number | 7137943395 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | 433 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760629745 | Lane Kelley Kimbrough Jr. | Physical Therapist | 2305 San Felipe St, Houston, TX 77019-3401 | 2009-01-14 |
| Street Address |
2525 W. BELLFORT SUITE 150 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245220425 | Robert Schiff | Prosthetist | 2525 W. Bellfort, Suite 150, Houston, TX 77054 | 2005-10-27 |
| 1073871653 | Lee A Jones | Orthotist | 2525 W. Bellfort, Suite 150, Houston, TX 77054 | 2012-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
| 1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
| 1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
| 1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
| 1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
| 1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
| 1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
| 1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
| Find all providers in zip 77054 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326536194 | Priscilla Ann Villegas | Orthotic Fitter | 3615 Willowbend Blvd, Suite 428, Houston, TX 77054 | 2018-04-27 |
| 1346508405 | William E Landefield | Orthotic Fitter | 11155 Main St, Houston, TX 77025-5600 | 2012-04-26 |
| 1851377626 | Barry Raborn | Orthotic Fitter | 2525 W Bellfort St, Suite 150, Houston, TX 77054-5000 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521871 | Rhonda Marie Mahan | Orthotic Fitter | 3229 Patrick Pl, Midland, TX 79705-2326 | 2019-01-08 |
| 1992214670 | Jacob Bradford | Orthotic Fitter | 3209 Courtyard Dr Ste L, Midland, TX 79705-3276 | 2017-09-25 |
| 1942725585 | Mahmood Syed Ghori | Orthotic Fitter | 110 Broadway St Ste 110, San Antonio, TX 78205-1912 | 2017-08-04 |
| 1821353152 | Shawn Rice | Orthotic Fitter | 5510 Gail Dr, Beaumont, TX 77708-2908 | 2012-07-12 |
| 1548493596 | Lisa M Luna | Orthotic Fitter | 510 W I 30 Ste 213, Garland, TX 75043-5728 | 2009-08-25 |
| 1982838496 | Robert Michael Super | Orthotic Fitter | 1255 W 15th St Ste 540, Plano, TX 75075-7248 | 2009-05-12 |
| 1225207822 | Terry Valentine | Orthotic Fitter | 7110 Wurzbach Rd, Apt 403, San Antonio, TX 78240-4821 | 2008-02-27 |
| 1841333911 | Karlheinz Reichl | Orthotic Fitter | 517 Peanut Dr, Temple, TX 76502-5300 | 2007-02-15 |
| 1952454233 | David J. Greenway | Orthotic Fitter | 1100 W Cannon St, Fort Worth, TX 76104-2934 | 2007-01-19 |
| 1417010414 | Jo Denton Smith | Orthotic Fitter | 311 Dodson Avenue, Midland, TX 79701-6334 | 2006-12-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.