Organization Active NPI

Lirios Pediatrics

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1275256018
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LIRIOS PEDIATRICS
Practice address
4201 S Congress Ave Ste 202
Austin, TX 78745-1156
Phone
(512) 502-5205
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Monica Lynn Simmons, MSN, RN-CPN
Title
Executive Director
Phone
(512) 502-5205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

4201 S Congress Ave Ste 202
Austin, TX 78745-1156

Mailing address

4201 S Congress Ave Ste 202
Austin, TX 78745-1156
Phone (512) 502-5205

Other identifiers 1

IdentifierTypeStateIssuer
1225057060MedicaidTX

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address monicasimmons@direct.practicefusion.com Direct
Direct Messaging Address clairehebner@direct.practicefusion.com Direct

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
45D2269645Lirios Pediatrics4201 S. Congress, Suite 202, Austin, TX 78745Certificate of waiverSep 28, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1275256018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 S CONGRESS AVE STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451156",
            "telephone_number": "512-502-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 S CONGRESS AVE STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451156",
            "telephone_number": "512-502-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIRIOS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "512-502-5205",
        "authorized_official_credential": "MSN, RN-CPN"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225057060",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "monicasimmons@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Practice Fusion EMR Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "4201 S Congress Ave Ste 202",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787451156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clairehebner@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Practice Fusion EMR Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "4201 S Congress Ave Ste 202",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787451156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 26, 2022; 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.