NPIMap

Organization Active NPI

Lufkin Lifestyle and Family Medicine PLLC

  • Primary Care Clinic/Center
  • Lufkin, TX
National Provider Identifier
1033716402
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LUFKIN LIFESTYLE AND FAMILY MEDICINE PLLC
Practice address
109 N 1St St
Lufkin, TX 75901-3003
Phone
(369) 632-2802
Fax
(369) 286-3005
NPI assigned
Oct 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Mrs. Hillary McElroyNPI 1972962777
Title
FNP-C
Phone
(936) 632-2802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

109 N 1St St
Lufkin, TX 75901-3003

Mailing address

111 E Shepherd Ave Ste B
Lufkin, TX 75901-0315
Phone (936) 632-2802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201231000540 TX Part B Supplier - Clinic/Group Practice 3577976042 Receives reassigned benefits from 6 practitioners
Practice locations: Lufkin, TX

National Provider Directory

National Provider Directory

Locations

109 N 1st St
Lufkin, TX 75901
Phone (369) 632-2802

111 E Shepherd Ave
Ste B
Lufkin, TX 75901

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1033716402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E SHEPHERD AVE STE B",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759010315",
            "telephone_number": "936-632-2802",
            "fax_number": "936-463-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N 1ST ST",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759013003",
            "telephone_number": "369-632-2802",
            "fax_number": "369-286-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUFKIN LIFESTYLE AND FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "MCELROY",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "936-632-2802",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.