Active NPI
Stacy L Lessman PA
- Family Medicine Physician
- Waco, TX
National Provider Identifier
1265620546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L1110
- Legal business name
- STACY L LESSMAN PA
- Practice address
- 611 W Hwy 6
Suite 108
Waco, TX 76710-7544 - Phone
- (254) 776-5900
- NPI assigned
- Oct 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacy L Lessman, MD
- Title
- Owner
- Phone
- (254) 776-5900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L1110 | TX | Primary |
Addresses
Primary practice location
611 W Hwy 6
Suite 108
Waco, TX 76710-7544
Mailing address
611 W Hwy 6
Suite 108
Waco, TX 76710-7544
Phone (254) 776-5900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124230 | Other | TX | SUPERIOR/CHIPS |
| 0086LB | Other | TX | BC/BS |
| DC8517 | Other | TX | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Waco, TX
- NPI 1821095316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1265620546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W HWY 6",
"address_2": "SUITE 108",
"city": "WACO",
"state": "TX",
"postal_code": "767107544",
"telephone_number": "254-776-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W HWY 6",
"address_2": "SUITE 108",
"city": "WACO",
"state": "TX",
"postal_code": "767107544",
"telephone_number": "254-776-5900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STACY L LESSMAN PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "LESSMAN",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "254-776-5900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "L1110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR/CHIPS",
"identifier": "124230",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "0086LB",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DC8517",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.