Individual provider Active NPI

Julienne Calamlam, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1669171690
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16480 Issued in TX
Practice address
12201 Renfert Way Ste 200
Austin, TX 78758-5368
Phone
(512) 339-6626
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16480 TX Primary

Addresses

Primary practice location

12201 Renfert Way Ste 200
Austin, TX 78758-5368

Mailing address

12201 Renfert Way Ste 200
Austin, TX 78758-5368
Phone (512) 339-6626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230516002457 TX Practitioner - Physician Assistant 2264898394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Specialized Womens Services PLLCGroup PAC ID 1254478951, 26 clinicians
St. Davids OB and GYN Services, PLLCGroup PAC ID 5395241335, 21 clinicians

Practice addresses (Care Compare)

12200 Renfert Way
Suite G3
Austin, TX 78758-5654
Phone (512) 821-2540

12201 Renfert Way
Austin, TX 78758-5368

12201 Renfert Way
Suite 225
Austin, TX 78758-5369
Phone (512) 339-6626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA16480TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Davids OB and GYN Services, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Methodist Physician Practices, PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12201 Renfert Way
Ste 225
Austin, TX 78758
Phone (303) 873-5245

12201 Renfert Way
Ste 200
Austin, TX 78758
Phone (512) 425-3840

3101 Highway 71 E
Ste 107
Bastrop, TX 78602

Interoperability endpoints

  • Direct secure messaging: julienne.calamlam@hca8.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 3

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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1669171690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585368",
            "telephone_number": "512-339-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585368",
            "telephone_number": "512-339-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALAMLAM",
        "first_name": "JULIENNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.