Organization Active NPI

Telelif LLC

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1063985687
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TELELIF LLC
Practice address
10817 W Highway 71
Austin, TX 78735-9609
Phone
(512) 415-0693
NPI assigned
Jan 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Authorized official

Name
Justin Todd Baker
Title
Credentialing
Phone
(832) 799-2295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10817 W Highway 71
Austin, TX 78735-9609

Mailing address

10817 W Highway 71
Austin, TX 78735-9609
Phone (512) 415-0693

Other names 1

  • Lonestar Telemedicine Doing business as

National Provider Directory

National Provider Directory

Locations

10817 W Highway 71
Austin, TX 78735
Phone (512) 288-3300

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1063985687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10817 W HIGHWAY 71",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787359609",
            "telephone_number": "512-415-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10817 W HIGHWAY 71",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787359609",
            "telephone_number": "512-415-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELELIF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "832-799-2295"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lonestar Telemedicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.