Active NPI
Christine Quyen Lam, DO
- Pediatrics Physician
- Austin, TX
National Provider Identifier
1548451735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N4536
- Practice address
- 12201 Renfert Way
Ste 110
Austin, TX 78758-5354 - Phone
- (512) 491-5125
- Fax
- (512) 491-8521
- NPI assigned
- Aug 5, 2007
- Last updated
- Dec 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP1-0029094 | TX | |
| Pediatrics Physician | 208000000X | N4536 | TX | Primary |
Addresses
Primary practice location
12201 Renfert Way
Ste 110
Austin, TX 78758-5354
Mailing address
12201 Renfert Way
Ste 110
Austin, TX 78758-5354
Phone (512) 491-5125
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0029094 | TX | MD | Pediatrics Physician |
| N4536 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- christine.lam@napp.eclinicaldirectplus.com
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, 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": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293667200000",
"number": "1548451735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 RENFERT WAY",
"address_2": "STE 110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585354",
"telephone_number": "512-491-5125",
"fax_number": "512-491-8521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12201 RENFERT WAY",
"address_2": "STE 110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585354",
"telephone_number": "512-491-5125",
"fax_number": "512-491-8521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "CHRISTINE",
"middle_name": "QUYEN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2010-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP1-0029094",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N4536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.