Individual provider Active NPI

Haimanot Tekelu Lemlem

  • Driver
  • Pflugerville, TX
National Provider Identifier
1225705304
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
26277520 Issued in TX
Practice address
20804 Bellerive Dr
Pflugerville, TX 78660-7923
Phone
(512) 576-4542
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 26277520 TX Primary

Addresses

Primary practice location

20804 Bellerive Dr
Pflugerville, TX 78660-7923

Mailing address

20804 Bellerive Dr
Pflugerville, TX 78660-7923
Phone (512) 576-4542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26277520TXMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Keld, Inc CurrentSince Jan 21, 2024 Accepting new patients

Organizations & group practices 1

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1225705304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20804 BELLERIVE DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607923",
            "telephone_number": "512-576-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20804 BELLERIVE DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786607923",
            "telephone_number": "512-576-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMLEM",
        "first_name": "HAIMANOT",
        "middle_name": "TEKELU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "26277520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.