Organization Active NPI

North Lamar Family Medicine PLLC

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1194646133
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH LAMAR FAMILY MEDICINE PLLC
Practice address
1139 W Braker LN Ste 103
Austin, TX 78758-4113
Phone
(815) 995-7066
NPI assigned
Jul 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Patrice Pash
Title
Credentialing Lead
Phone
(815) 995-7066

Specialties & licenses 1

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

Addresses

Primary practice location

1139 W Braker LN Ste 103
Austin, TX 78758-4113

Mailing address

1139 W Braker LN Ste 103
Austin, TX 78758-4113
Phone (815) 995-7066

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2033636North Lamar Family Medicine1139 W Braker Lane Suite 103, Austin, TX 78758Certificate of waiverDec 6, 2027

National Provider Directory

National Provider Directory

Locations

1139 W Braker Ln
Ste 103
Austin, TX 78758
Phone (512) 832-1300

NPI Registry JSON

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

{
    "created_epoch": "1784851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1194646133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 W BRAKER LN STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584113",
            "telephone_number": "815-995-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 W BRAKER LN STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787584113",
            "telephone_number": "815-995-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAMAR FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-24",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "PASH",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "CREDENTIALING LEAD",
        "authorized_official_telephone_number": "815-995-7066"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.