Active NPI
Judy M. Lemons, PA-C
- Medical Physician Assistant
- Wichita Falls, TX
National Provider Identifier
1720067002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 00197
- Practice address
- 1700 3Rd St
Wichita Falls, TX 76301-2113 - Phone
- (940) 397-2550
- NPI assigned
- Jan 13, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00197 | TX | |
| Medical Physician Assistant | 363AM0700X | PA 00197 | TX | Primary |
Addresses
Primary practice location
1700 3Rd St
Wichita Falls, TX 76301-2113
Mailing address
4403 Abbott Ave
Wichita Falls, TX 76308-3406
Phone (940) 689-0215
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00197 | TX | MD | Physician Assistant |
| PA 00197 | TX | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361145600000",
"number": "1720067002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 ABBOTT AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763083406",
"telephone_number": "940-689-0215",
"fax_number": "940-689-0215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 3RD ST",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763012113",
"telephone_number": "940-397-2550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMONS",
"first_name": "JUDY",
"middle_name": "M.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-13",
"last_updated": "2013-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA00197",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA 00197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.