Individual provider Active NPI

Renee Lemm, PA

  • Medical Physician Assistant
  • Shenandoah, TX
National Provider Identifier
1225139694
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01099 Issued in TX
Practice address
117 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone
(936) 443-8460
Fax
(866) 936-4875
NPI assigned
Sep 26, 2006
Last updated
Aug 26, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA01099 TX Primary

Addresses

Primary practice location

117 Vision Park Blvd
Shenandoah, TX 77384-3001

Mailing address

PO Box 9763
Spring, TX 77387-6763
Phone (936) 443-8460

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
I20070220000630 TX Practitioner - Physician Assistant 9739281841 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA01099TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Travis W. Hird, M.D. PA CurrentSince Sep 15, 2025 Accepting new patients
Agana Associates PA PastSince Mar 1, 2003 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

117 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 298-7441

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1225139694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9763",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773876763",
            "telephone_number": "936-443-8460",
            "fax_number": "866-936-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "936-443-8460",
            "fax_number": "866-936-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMM",
        "first_name": "RENEE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.