Individual provider Active NPI

Janice Hallford Lampe, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Lubbock, TX
National Provider Identifier
1104958560
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03109 Issued in TX
Practice address
6002 Slide Rd # D24
Lubbock, TX 79414-4310
Phone
(806) 761-0450
Fax
(806) 796-7259
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 13264 TX
Physician Assistant 363A00000X PA03109 TX Primary

Addresses

Primary practice location

6002 Slide Rd # D24
Lubbock, TX 79414-4310

Mailing address

5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3545
Phone (806) 761-0333

Other names 1

  • Janice Hallford Wilks Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Janice.Lampe@direct.myteamcare.com UMC Physicians

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040707000133 TX Practitioner - Physician Assistant 4981681053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umc PhysiciansGroup PAC ID 9830003631, 107 clinicians

Practice addresses (Care Compare)

113 Walnut St
Idalou, TX 79329-4003
Phone (806) 892-2537

4105 I
Suite 27
Lubbock, TX 79404-2749
Phone (806) 762-2633

502 E Hwy 62
Wolfforth, TX 79382-2241
Phone (806) 866-0158

5130 82ND St
Lubbock, TX 79424-3024
Phone (806) 761-0275

7501 Quaker Ave
Lubbock, TX 79424-3367
Phone (806) 788-3306

808 Joliet Ave
Unit 110
Lubbock, TX 79415-1148
Phone (806) 761-0545

9615 Frankford Ave
Lubbock, TX 79424-4461
Phone (806) 761-0265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13264TXMDDentist
PA03109TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Umc Physicians Physician Assistant CurrentSince Dec 15, 2020 Accepting new patients

Locations

6002 Slide Rd
Ste D24
Lubbock, TX 79414
Phone (806) 761-0450

808 Joliet Ave
Unit 110
Lubbock, TX 79415
Phone (806) 761-0403

6002 Slide Rd
#D24
Lubbock, TX 79414
Phone (806) 761-0450

5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407
Phone (806) 761-0334

3502 9th St
Ste 380
Lubbock, TX 79415
Phone (806) 722-7400

808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400

Interoperability endpoints

  • Direct secure messaging: janice.lampe@direct.myteamcare.com

Organizations & group practices 2

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1104958560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073545",
            "telephone_number": "806-761-0333",
            "fax_number": "806-782-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 SLIDE RD # D24",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144310",
            "telephone_number": "806-761-0450",
            "fax_number": "806-796-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPE",
        "first_name": "JANICE",
        "middle_name": "HALLFORD",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13264",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Janice.Lampe@direct.myteamcare.com",
            "affiliation": "Y",
            "affiliationName": "UMC Physicians",
            "address_1": "6002 Slide Rd # D24",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794144310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "WILKS",
            "middle_name": "HALLFORD",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.