Individual provider Active NPI

Lameck M Symekah

  • Psychiatric/Mental Health Nurse Practitioner
  • Garland, TX
National Provider Identifier
1669143525
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1054437 Issued in TX
Practice address
3635 Broadway Blvd Ste a
Garland, TX 75043-1647
Phone
(972) 787-0060
Fax
(972) 787-0450
NPI assigned
Sep 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1054437 TX Primary

Addresses

Primary practice location

3635 Broadway Blvd Ste a
Garland, TX 75043-1647

Mailing address

3635 Broadway Blvd Ste a
Garland, TX 75043-1647
Phone (972) 787-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211216000954 TX Practitioner - Nurse Practitioner 7517385198 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1669143525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 BROADWAY BLVD STE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431647",
            "telephone_number": "972-787-0060",
            "fax_number": "972-787-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 BROADWAY BLVD STE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431647",
            "telephone_number": "972-787-0060",
            "fax_number": "972-787-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMEKAH",
        "first_name": "LAMECK",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1054437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.