SVIS - A:Grantee List

IIS_A-CDC Grantee List.pdf

Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

SVIS - A:Grantee List

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ATTACHMENT A: CDC Grantee List
IIS State/Territory/City Registry Staff - Main & Technical Contacts
Note: This contact page also can be used by providers to contact a state's IIS to request immunization
information. For example, a patient moves from one state to another.
Note: Any IIS related questions or updates/errors to this contact list should go to [email protected].
Click on the map or in the box below to access the state contacts.

State/Territory Contacts
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware

District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Micronesia
Minnesota
Mississippi
Missouri
Montana
N. Mariana Islands
Nebraska
Nevada

New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming

Alabama | Alaska | American Samoa | Arizona | Arkansas
Alabama
Registry:
Immunization Provider Registry with Internet Technology (ImmPRINT)
Main Contact:
Mike Hudgens
Phone: 334.206.5023
Fax: 334.206.2044
E-mail: [email protected]
Technical Contact:
Hari Siva
Phone: 334.206.7038
Fax: 334.206.2044
E-mail: [email protected]

Alaska
Registry:
VacTrAK
Main Contact:
Tricia Franklin
Phone: 907.269.8000
Fax: 907.562.7802
E-mail: [email protected]
Technical Contact:
Wendy Rainey
Phone: 907.269.0312
Fax: 907.562.7802
E-mail: [email protected]

American Samoa

Registry:
Integrated Family Hm Information System
Main Contact:
John Chase
Phone: 684.633.4606
Fax: 684.633.5379
E-mail: [email protected]
Technical Contact:
Yolanda Masunu
Phone: 684.633.7223 x5318
Fax: 684.633.1954
E-mail: [email protected]

Arizona
Registry:
Arizona State Immunization Information System (ASIIS)
Toll Free Number: 877.491.5741
Main Contact:
Sanket Solgama
Phone: 602.364.3619
Fax: 602.364.3285
E-mail: [email protected]
Technical Contact:
Terry Rinck
Phone: 602.364.3898
Fax: 602.364.3285
E-mail: [email protected]

Arkansas
Registry: Immunization Network for Children
Main Contact

Hilda Douglas
Phone: 501.661.2169
Fax: 501.661.2300
E-mail: [email protected]
Technical Contact
Hilda Douglas
Phone: 501.661.2169
Fax: 501.661.2300
E-mail: [email protected]
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California | Colorado | Connecticut
California
Registry:
California Immunization Registry (CAIR)
Main Contact:
Michael S. Powell, MSc
Phone: 800.578.7889
Fax: 916.440.5838
E-mail: [email protected]
Technical Contact:
Michael S. Powell, MSc
Phone: 510.231.7648
Fax: 916.440.5837
E-mail: [email protected]

Colorado
Registry:
Colorado Immunization Information System (CIIS)
Main Contact:
Heather Shull, MA
Phone: 303.692.2289

Fax: 303.758.3640
E-mail: [email protected]
Technical Contact:
Bill Vertrees
Phone: 303.692.2757
Fax: 303.691.6118
E-mail: [email protected]

Connecticut
Registry:
Connecticut Immunization Registry and Tracking System (CIRTS)
Main Contact:
Nancy Sharova
Phone: 860.509.7912
Fax: 860.509.8370
E-mail: [email protected]
Technical Contact:
Diane Fraiter
Phone: 860.509.7938
Fax: 860.509.8119
E-mail: [email protected]
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Delaware | District of Columbia
Delaware
Registry:
DelVax
Main Contact:
James Talbott
Phone: 302.744.1181
Fax: 302.739.2555
E-mail: [email protected]

Technical Contact:
Cheryl Oliver-Knight
Phone: 302.744.4793
Fax: 302.739.6627
E-mail: [email protected]

District of Columbia
Registry:
DC Immunization Registry System
Main Contact:
Charlissa Quick
Phone: 202.442.9123
Fax: 202.442.4947
E-mail: [email protected]
Technical Contact:
Kourosh Amin-Tehrani
Phone: 202.442.9194
Fax: 202.478.5709
E-mail: [email protected]
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Florida
Florida
Registry:
Florida SHOTS
Main Contact:
Robert M. Griffin
Phone: 850.245.4444 Ext. 2381
Fax: 850.412.5801
E-mail: [email protected]
Technical Contact:

Robert M. Griffin
Phone: 850.245.4444 Ext. 2381
Fax: 850.412.5801
E-mail: [email protected]
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Georgia | Guam
Georgia
Registry:
Georgia Registry of Immunization Transactions & Services (GRITS)
Main Contact:
Denise Wilson
Phone: 404.463.0806
E-mail: [email protected]
Technical Contact:
Nikki Griffin
Phone: 404.657.3166
E-mail: [email protected]

Guam
Registry:
GUWebIZ
Main Contact:
Annette L. Aguon
Phone: 671.735.7143
Fax: 671.734.1475
E-mail: [email protected]
Technical Contact:
Gerard Calvo
Phone: 671.735.7018
E-mail: [email protected]

Top of Page
Hawaii
Hawaii
Registry:
Hawaii Immunization Registry
Main Contact:
James Wasa
Phone: 808.586.8305
Fax: 808.586.8312
E-mail: [email protected]
Technical Contact:
James Wasa
Phone: 808.586.8305
Fax: 808.586.8312
E-mail: [email protected]
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Idaho | Illinois | Indiana | Iowa
Idaho
Registry:
Immunization Reminder Information System (IRIS)
Main Contact:
Jennifer Baker
Phone: 208.334.5711
Fax: 208.334.4914
E-mail: [email protected]
Technical Contact:
Carrie Sprague
Phone: 208.334.5902
Fax: 208.334.4914
E-mail: [email protected]

Illinois
Registry:
ICARE
Main Contact:
Teri Nicholson
Phone: 217.782.5649
Fax: 217.524.0967
E-mail: [email protected]
Technical Contact:
Robin Holding
Phone: 217.557.0021
Fax: 217.557.0009
E-mail: [email protected]

Illinois - Chicago
Registry:
ICARE
Main Contact:
Teri Nicholson
Phone: 217.782.5649
Fax: 217.524.0967
E-mail: [email protected]
Technical Contact:
Robin Holding
Phone: 217.557.0021
Fax: 217.557.0009
E-mail: [email protected]

Indiana

Registry:
Children & Hoosier Immunization Registry Program (CHIRP)
Main Contact:
Vijay Pathangi
Phone: 317.233.7797
E-mail: [email protected]
Technical Contact:
Vijay Pathangi
Phone: 317.233.7797
E-mail: [email protected]

Iowa
Registry:
IRIS
Main Contact:
Kim Tichy
Phone: 515.281.4288
Fax: 800.831.6292
E-mail: [email protected]
Technical Contact:
Tory King
Phone: 515.281.7992
Fax: 800.831.6292
E-mail: [email protected]
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Kansas | Kentucky
Kansas
Registry:
KSWebIZ

Main Contact:
Debbie Warren
Phone: 785.296.8119
Fax: 785.291.3142
E-mail: [email protected]
Technical Contact:
Chris McGinley
Phone: 785.296.5182
Fax: 785.368.7033
E-mail: [email protected]

Kentucky
Registry:
Kentucky Immunization Registry
Main Contact:
Jody Schweitzer
Phone: 502.564.4478 Ext 4265
Fax: 502.564.4760
E-mail: [email protected]
Technical Contact:
Jody Schweitzer
Phone: 502.564.4478 Ext 4265
Fax: 502.564.4760
E-mail: [email protected]
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Louisiana
Louisiana
Registry:
Louisiana
Main Contact:

Quan Le
Phone: 504.838.5300
Fax: 504.838.5206
E-mail: [email protected]
Technical Contact:
Quan Le
Phone: 504.838.5300
Fax: 504.838.5206
E-mail: [email protected]
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Maine | Marshall Islands | Maryland | Massachusetts | Michigan
Micronesia | Minnesota | Mississippi | Missouri | Montana
Maine
Registry:
ImmPact2
Main Contact:
Tonya Philbrick
Phone 207.287.2541
Fax 207.287.8127
E-mail: [email protected]
Technical Contact:
Tonya Philbrick
Phone 207.287.2541
Fax 207.287.8127
E-mail: [email protected]

Marshall Islands
Registry:
RMI WebIZ
Main Contact:

Edlen J. Anzures
Phone: 692.625.5660
Fax: 692.625.3432
E-mail: [email protected]
Technical Contact:
none

Maryland
Registry:
ImmuNet
Main Contact:
Keith Childress
Phone: 410.767.6606
Fax: 410.333.5893
E-mail: [email protected]
Technical Contact:
Keith Childress
Phone: 410.767.6606
Fax: 410.333.5893
E-mail: [email protected]

Massachusetts
Registry:
Massachusetts Immunization Information System (MIIS)
Main Contact:
Tseli Mohammed
Phone: 617.983.4367
Fax: 617.983.6840
E-mail: [email protected]
Technical Contact:

Doreen Corban
Phone: 617.983.6808
Fax: 617.983.6840
E-mail: [email protected]

Michigan
Registry:
Michigan Care Improvement Registry (MCIR)
Main Contact:
Bea Salada
Phone: 517.335.9340
Fax: 517.335.9855
E-mail: [email protected]
Technical Contact:
Bea Salada
Phone: 517.335.9340
Fax: 517.335.9855
E-mail: [email protected]

Micronesia
Registry:
WEBIZ
Main Contact:
Louisa Helgenberger
Phone: 691.320.2619
Fax: 691.320.5263
E-mail: [email protected]
Technical Contact:
Louisa Helgenberger
Phone: 691.320.2619

Fax: 691.320.5263
E-mail: [email protected]

Minnesota
Registry:
Minnesota Immunization Information Connection (MIIC)
Record Request Contact:
Minnesota Department of Health Immunization Program
Phone: 800.657.3970, 651.201.5503
Main Contact:
Erin Roche
Phone: 651.201.5591
Fax: 651.201.5501
E-mail: [email protected]
Technical Contact:
Aaron Bieringer
Phone: 651.201.4071
Fax: 651.201.5501
E-mail: [email protected]

Mississippi
Registry:
Mississippi Immunization Information eXchange
Main Contact:
Bill Crowder
Phone: 601.576.7751
Fax: 601.576.7686
E-mail: [email protected]
Technical Contact:

Bill Crowder
Phone: 601.576.7751
Fax: 601.576.7686
E-mail: [email protected]

Missouri
Registry:
ShowMeVax
Main Contact:
Damon Ferlazzo
Phone 573.751.6124
Fax 573.526.0238
E-mail: [email protected]
Technical Contact:
Michael Heller
Phone: 573.522.1930
Fax: none
E-mail: [email protected]

Montana
Registry:
imMTrax
Main Contact:
Lisa Rasmussen
Phone: 406.444.9539
Fax: 406-444-2920
E-mail: [email protected]
Technical Contact:
Tim Determan
Phone: 406.444.0902
E-mail: [email protected]

Top of Page
N. Mariana Islands | Nebraska | Nevada | New Hampshire | New Jersey
New Mexico | New York | North Carolina | North Dakota
N. Mariana Islands
Registry:
WEBIZ
Main Contact:
Jeremy Sasamoto
Phone: 670.236.8783 x2223
Fax: 670.236.8700
E-mail: [email protected]
Technical Contact:
Jeremy Sasamoto
Phone: 670.236.8783 x2223
Fax: 670.236.8700
E-mail: [email protected]

Nebraska
Registry:
Nebraska State Immunization Information System (NESIIS)
Main Contact:
Michelle Hood
Phone: 402.471.3727
Fax: 402.471.6426
E-mail: [email protected]
Technical Contact:
Michelle Hood
Phone: 402.471.3727
Fax: 402.471.6426
E-mail: [email protected]

Nevada
Registry:
Nevada WebIZ
Main Contact:
Amanda (Mandy) Harris
Phone: 775.684.4258
Fax: 775.687.7596
E-mail: [email protected]
Technical Contact:
Denise Madera
Phone: 775.684.3219
Fax: 775.684.5917
E-mail: [email protected]

New Hampshire
Registry:
No IIS
Main Contact:
None
Technical Contact:
None

New Jersey
Registry:
New Jersey Immunization Information System (NJIIS)
Main Contact:
Bhavani Sathya
Phone: 609.826.4861

Fax: 609.826.4866
E-mail: [email protected]
Technical Contact:
Bhavani Sathya
Phone: 609.826.4861
Fax: 609.826.4866
E-mail: [email protected]

New Mexico
Registry:
New Mexico Statewide Immunization Information System (NMSIIS)
Main Contact:
Peggy Cooke
Phone: 505.476.1451
Fax: 505.827.1741
E-mail: [email protected]
Technical Contact:
Peggy Cooke
Phone: 505.476.1451
Fax: 505.827.1741
E-mail: [email protected]

New York
Registry:
New York State Immunization Information System (NYSIIS)
Main Contact:
Dina Hoefer
Phone: 518.473.2839
Fax: 518.474.2249
E-mail: [email protected]
Technical Contact:

Michael K. Flynn
Phone: 518.473.2839
Fax: 518.474.2249
E-mail: [email protected]

New York - New York City
Registry:
New York Citywide Immunization Registry (CIR)
Main Contact:
Amy Metroka
Phone: 347-396-2424
Fax: 347-396-2559
E-mail: [email protected]
Technical Contact:
Angel Aponte
Phone: 347-396-2425
Fax: 347-396-2559
E-mail: [email protected]

North Carolina
Registry:
North Carolina Immunization Registry (NCIR)
Main Contact:
Amanda Dayton
Phone: 919.707.5582
Fax: 919.870.4824
E-mail: [email protected]
Technical Contact:
Sriram Venkataraman
Phone: 919.707.5581

Fax: 919.870.4824
E-mail: [email protected]

North Dakota
Registry:
North Dakota Immunization Information System (NDIIS)
Main Contact:
Mary Woinarowicz
Phone: 701.328.2404
Fax: 701.328.2466
E-mail: [email protected]
Technical Contact:
Mary Woinarowicz
Phone: 701.328.2404
Fax: 701.328.2466
E-mail: [email protected]
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Ohio | Oklahoma | Oregon
Ohio
Registry:
ImpactSIIS
Main Contact:
Brian Napier
Phone: 614.466.4643
Fax: 614.728.4279
E-mail: [email protected]
Technical Contact:
Brian Napier
Phone: 614.466.4643
Fax: 614.728.4279
E-mail: [email protected]

Oklahoma
Registry:
Oklahoma State Immunization Information System (OSIIS)
Main Contact:
Bobbie Nubine
Phone: 405.271.4073
Fax: 405.271.6133
E-mail: [email protected]
Technical Contact:
Keith Lindsay
Phone: 405.271.9444 ext#56923
Fax: 405.271.6133
E-mail: [email protected]

Oregon
Registry:
ALERT IIS
Main Contact:
Mary Beth Kurilo
Phone: 971.673.0294
Fax: 971.673.0278
E-mail: [email protected]
Technical Contact:
Deborah Richards
Phone: 971.673.1000
Fax: 971.673.0278
E-mail: [email protected]
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Palau | Pennsylvania | Puerto Rico

Palau
Registry:
WebIZ
Main Contact:
Pearl Marumoto
Phone: 680.488.2212 x257
Fax:680.488.4800
E-mail:[email protected]
Technical Contact:
Pearl Marumoto
Phone: 680.488.2212 x257
Fax:680.488.4800
E-mail:[email protected]

Pennsylvania
Registry:
Pennsylvania Statewide Immunization Information System
Main Contact:
Frank Caniglia
Phone: 717.783.2548
Fax: 717.772.3258
E-mail: [email protected]
Technical Contact:
Frank Caniglia
Phone: 717.783.2548
Fax: 717.772.3258
E-mail: [email protected]

Pennsylvania - Philadelphia
Registry:

Kids Immunization Database/Tracking System
Main Contact:
Lisa McKeown
Phone: 215.685.6468
Fax: 215.238.6944
E-mail: [email protected]
Technical Contact:
Brian Jorgage
Phone: 215.685.6455
Fax: 215.238.6944
E-mail: [email protected]

Puerto Rico
Registry:
Puerto Rico Immunization Registry (PRIR)
Main Contact:
Veronica Rodriguez, MBA
Phone: 787.765.2929
Fax: 787.274.6807
E-mail: [email protected]
Technical Contact:
Silkia Martinez
Phone: 787.765.2929 ext 2200
E-mail: [email protected]
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Rhode Island
Rhode Island
Registry:
KIDSNET
Main Contact:

Ellen Amore
Phone: 401.222.4601
Fax: 401.222.1442
E-mail: [email protected]
Technical Contact:
Jeannine Warrener
Phone: 401.222.4619
Fax: 401.222.1442
E-mail: [email protected]
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South Carolina | South Dakota
South Carolina
Registry:
CARES IS
Main Contact:
Rodney Saylor
Phone: 803.898.0460
Fax: 803.898.0326
email: [email protected]
Technical Contact:
Bill Kemick
Phone: 803.898.0692
Fax: 803.898.0326
E-mail: [email protected]

South Dakota
Registry:
South Dakota Immunization Information System
Main Contact:
Tammy LeBeau
Phone: 605.773.4783

Fax: 605.773.5509
E-mail: [email protected]
Technical Contact:
Shane Speciale
Phone: 303.355.6766
Fax: 303.355.6705
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Tennessee | Texas
Tennessee
Registry:
Tennessee Web Immunization System
Main Contact:
Catherine Haralson
Phone: 615.741.7507
Fax: 615.532.8526
E-mail: [email protected]
Technical Contact:
Brian K. Moore
Phone: 615.741.4908
Fax: 615.532.8576
E-mail: [email protected]

Texas
Registry:
ImmTrac
Main Contact:
Kathleen Street
Phone: 512.776.6454
Fax: 512.776.7790
E-mail: [email protected]

Technical Contact:
Kevin Allen
Phone: 512.458.7111 x6603
Fax: 512.458.7790
E-mail: [email protected]

Texas - Houston
Registry:
ImmTrac
Main Contact:
Candace Garcia
Phone: 713.794.9453
Fax: 713.794.9937
E-mail: [email protected]
Technical Contact:
Kevin Allen
Phone:512.458.7111 ext:6603
Fax: 512.458.7790
E-mail: [email protected]

Texas - San Antonio
Registry:
San Antonio Immunization Registry System (SAIDS)
Main Contact:
Marge Wieczkowski
Phone: 210.207.8716
Fax: 210.207.8882
E-mail: [email protected]
Technical Contact:
Marge Wieczkowski
Phone: 210.207.8716

Fax: 210.207.8882
E-mail: [email protected]
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Utah
Utah
Registry:
Utah Statewide Immunization Information System (USIIS)
Main Contact:
Nancy McConnell
Phone: 801.538.9487
Fax: 801.538.9440
E-mail: [email protected]
Technical Contact:
Nancy McConnell
Phone: 801.538.9487
Fax: 801.538.9440
E-mail: [email protected]
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Vermont | Virgin Islands | Virginia
Vermont
Registry:
Vermont Immunization Registry
Main Contact:
Bridget Ahrens
Phone: 802.951.4094
Fax: 802.652.4157
E-mail: [email protected]
Technical Contact:
Eileen Underwood
Phone: 802.865.7740

Fax: 802.951.1221
E-mail: [email protected]

Virgin Islands
Registry:
Virgin Islands Immunization System Registry
Main Contact:
Irene George
Phone: 340.776.1113
Fax: 340.774.5813
E-mail: [email protected]
Technical Contact:
Sherwin Rey
Phone: 690.1542

Virginia
Registry:
Virginia Immunization Information System (VIIS)
Main Contact:
Greg Dennis
Phone: 804.864.8055
Fax: 804.864.8089
E-mail: [email protected]
Technical Contact:
Dave Phillips
Phone: 804.864.8055
Fax: 804.864.8089
E-mail: [email protected]
Top of Page
Washington | West Virginia | Wisconsin | Wyoming

Washington
Registry:
Washington State Immunization Information System (WAIIS)
Main Contact:
Michele Roberts
Phone: 360.236.3568
Fax: 360.236.3590
E-mail: [email protected]
Technical Contact:
Belinda Baker
Phone: 360.236.3587
Fax: 360.236.3590
E-mail: [email protected]

West Virginia
Registry:
West Virginia Statewide Immunization Information System
Main Contact:
Tim Neely
Phone: 304.356.4043
Fax: 304.558.1899
E-mail: [email protected]
Technical Contact:
Tim Neely
Phone: 304.356.4043
Fax: 304.558.1899
E-mail: [email protected]

Wisconsin
Registry:

Wisconsin Immunization Registry
Main Contact:
Matt Verdon
Phone: 608.261.4948
Fax: 608.267.9493
E-mail: [email protected]
Technical Contact:
Matt Verdon
Phone: 608.261.4948
Fax: 608.267.9493
E-mail: [email protected]

Wyoming
Registry:
Wyoming Immunization Registry
Main Contact:
John Anderson
Phone: 307.777.7952
Fax: 307.777.3615
E-mail: [email protected]
Technical Contact:
Andy Yocum
Phone: 307.777.8691
Fax: 307.777.3615
E-mail: [email protected]

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Contact IIS:
National Center for Immunization and Respiratory Diseases
Centers for Disease Control and Prevention
1600 Clifton Road NE, Building 24
Mailstop A-19
Atlanta, GA 30333
[email protected]
Contact Us:
Centers for Disease Control and Prevention
1600 Clifton Rd
Atlanta, GA 30333
800-CDC-INFO
(800-232-4636)
TTY: (888) 232-6348
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Page last reviewed: May 15, 2012
Page last updated: July 31, 2014
Content source: National Center for Immunization and Respiratory Diseases


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File Created2014-08-13

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