Individual provider Active NPI

Julie Han, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1730995044
Registry record updated Jan 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
797086 Issued in TX
Practice address
11207 N Lamar Blvd Ste B
Austin, TX 78753-3056
Phone
(512) 649-2195
NPI assigned
Dec 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2025

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 797086 TX Primary

Addresses

Primary practice location

11207 N Lamar Blvd Ste B
Austin, TX 78753-3056

Mailing address

11207 N Lamar Blvd
Austin, TX 78753-3056

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
I20250129000497 TX Practitioner - Physician Assistant 6901335488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VMD Primary Providers of South Central Texas PLLCGroup PAC ID 7911337472, 27 clinicians

Practice addresses (Care Compare)

11207 N Lamar Blvd
Austin, TX 78753-3056
Phone (512) 988-5355

720 W 34TH St
Suite 100
Austin, TX 78705-1241
Phone (512) 988-5355

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
797086TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yun W Kim, MD, PA CurrentSince Dec 15, 2024 Accepting new patients
Integrative Medical Home Care PLLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

11207 N Lamar Blvd
Ste B
Austin, TX 78753
Phone (512) 649-2195

Interoperability endpoints

  • Direct secure messaging: julie.han.1@13711.direct.athenahealth.com

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": "1733788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736553600000",
    "number": "1730995044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11207 N LAMAR BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11207 N LAMAR BLVD STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533056",
            "telephone_number": "512-649-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "JULIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-01-11",
        "certification_date": "2025-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "797086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.