Individual provider Active NPI

Wilmot Lambert, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Montgomery, TX
National Provider Identifier
1003121674
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404570 Issued in NY
Practice address
149 Pineview Cove CT
Montgomery, TX 77316-3220
Phone
(936) 548-6598
NPI assigned
Aug 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 338439-1 NY
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist 364SP0813X 1058952 TX
Family Nurse Practitioner 363LF0000X 005636 CT
Registered Nurse 163W00000X 611372 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404570 NY Primary

Addresses

Primary practice location

149 Pineview Cove CT
Montgomery, TX 77316-3220

Mailing address

149 Pineview Cove CT
Montgomery, TX 77316-3220
Phone (936) 548-6598

Other identifiers 2

IdentifierTypeStateIssuer
1003121674MedicaidNC
NP2780MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150601001768 NY Practitioner - Nurse Practitioner 7315088945 Reassigns benefits to 6 organizations
I20170810001191 CT Practitioner - Nurse Practitioner 7315088945 Reassigns benefits to 1 organization
I20230124001549 TX Practitioner - Nurse Practitioner 7315088945 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
611372NYMDRegistered Nurse
005636CTMDFamily Nurse Practitioner
404570NYMDPsychiatric/Mental Health Nurse Practitioner
338439-1NYMDPrimary Care Nurse Practitioner
1058952TXMDGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical of New York PC CurrentSince Oct 13, 2017 Accepting new patients
Symphony Medical PC Current Accepting new patients
Dobbs Ferry Emergency Medicine, PC CurrentSince Aug 15, 2015 Accepting new patients
Symphony Medical PC CurrentSince Mar 15, 2015 Accepting new patients
Optimus Health and Wellness LLC Psychiatric/Mental Health CurrentSince May 13, 2024 Accepting new patients
Aldad Medical PC CurrentSince Mar 1, 2022 Accepting new patients
East Point Medical PC Psychiatric/Mental Health CurrentSince Jan 10, 2023 Accepting new patients
Aldad Medical PC CurrentSince Apr 1, 2022 Accepting new patients
Symphony Medical PC CurrentSince Mar 15, 2015 Accepting new patients
Good Health Psychiatric Services PC Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

263 Tresser Blvd
Fl 9
Stamford, CT 06901
Phone (203) 915-8337

128 Ashford Ave
Dobbs Ferry, NY 10522
Phone (914) 245-8936

3100 47th Ave
Ste 3100
Long Island City, NY 11101
Phone (516) 965-6336

7116 Grand Ave
Maspeth, NY 11378
Phone (718) 307-1577

1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23390/brand/1/csg/1/fhir/r4

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1003121674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 PINEVIEW COVE CT",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773163220",
            "telephone_number": "936-548-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 PINEVIEW COVE CT",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773163220",
            "telephone_number": "936-548-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "WILMOT",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-08",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "338439-1",
            "primary": false
        },
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "TX",
            "license": "1058952",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "005636",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "611372",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003121674",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2780",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

Verify at the official NPI Registry.