Lisa Clemons, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K2876 Issued in TX

Practice address

1807 W Slaughter LN Ste 490
Austin, TX 78748

Phone

(512) 282-8967

Fax

(512) 406-7351

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• McAllen Family Care Clinic

  • Family Medicine Physician
  • McAllen, TX
  • NPI 1033210265
  NPD (past)
• University of Texas Medical Branch, Austin Initiatives at Utmb

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1144393802

  Family Medicine

  NPD (past)
• Utmb Austin - Initiatives

  • Multi-Specialty Clinic/Center
  • Austin, TX
  • NPI 1427099506
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1285656603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E US HWY 290",
            "address_2": "STE. 420 - CREDENTIALING",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231098",
            "telephone_number": "512-338-3826",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 W SLAUGHTER LN STE 490",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78748",
            "telephone_number": "512-282-8967",
            "fax_number": "512-406-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104502303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104502307",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104502308",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tori Alexander Clements, AGPCNP-BC
• William Everett Clementson, D.O.
• Lydia Clemmons, LCDC
• Charles Frederick Clemons Sr., L.P.C.
• David Russell Clemons, PSY.D.
• Allyson Alexis Clendennen
• Margaret Clerkin
• Dedrick Cleveland
• Denise Lynn Cleveland, LCSW
• Telisa L Clevenger-Smith, LMFTA

• Family Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.