Individual provider Active NPI

Laken Lemoine

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1194107250
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13813 Issued in TX
Practice address
18400 Katy Fwy Ste 420
Houston, TX 77094-1292
Phone
(281) 402-9522
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13813 TX Primary
Physician Assistant 363A00000X LA

Addresses

Primary practice location

18400 Katy Fwy Ste 420
Houston, TX 77094-1292

Mailing address

PO Box 5126
Katy, TX 77491-5126

Other practice location 1

12946 Dairy Ashford Rd Ste 335
Sugar Land, TX 77478-3160
Phone (281) 402-9522

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
I20220808003352 TX Practitioner - Physician Assistant 7012218324 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA13813TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CNS Neuroexperts PLLC PastSince Jul 28, 2024 Accepting new patients
Mind Headache and Neurology PLLC PastSince Jul 28, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: laken.lemoine@79292109291524.direct.elationemr.com

Organizations & group practices 3

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1194107250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5126",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774915126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 KATY FWY STE 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941292",
            "telephone_number": "281-402-9522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12946 Dairy Ashford Rd Ste 335",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774783160",
            "country_code": "US",
            "telephone_number": "281-402-9522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEMOINE",
        "first_name": "LAKEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13813",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.