Individual provider Active NPI

Lemuel Wayne Kemp Jr., FNP

  • Family Nurse Practitioner
  • Ennis, TX
National Provider Identifier
1184109654
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138919 Issued in TX
Practice address
2203 W Lampasas St Ste 205
Ennis, TX 75119-5668
Phone
(972) 875-6200
Fax
(972) 875-6414
NPI assigned
Oct 1, 2018
Last updated
Oct 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138919 TX Primary

Addresses

Primary practice location

2203 W Lampasas St Ste 205
Ennis, TX 75119-5668

Mailing address

108 Hamblen Blvd
Palmer, TX 75152-8239
Phone (214) 908-1455

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
I20181204001118 TX Practitioner - Nurse Practitioner 0345584231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vip Healthcare PLLCGroup PAC ID 3678896461, 4 clinicians

Practice addresses (Care Compare)

601 S Clay St
Suite 104
Ennis, TX 75119-5771
Phone (978) 875-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138919TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Fredric Puckett, PLLC CurrentSince Dec 5, 2018 Accepting new patients
Vip Healthcare, PLLC CurrentSince Jul 22, 2024 Accepting new patients

Locations

2203 W Lampasas St
Ste 111
Ennis, TX 75119
Phone (972) 875-6200

2203 W Lampasas St
Ste 205
Ennis, TX 75119
Phone (972) 875-6200

601 S Clay St
Ste 104
Ennis, TX 75119
Phone (972) 875-6600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11523/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1184109654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HAMBLEN BLVD",
            "city": "PALMER",
            "state": "TX",
            "postal_code": "751528239",
            "telephone_number": "214-908-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST STE 205",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195668",
            "telephone_number": "972-875-6200",
            "fax_number": "972-875-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "LEMUEL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

Verify at the official NPI Registry.