Individual provider Active NPI

Laura Graciela Lightner, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1114429974
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP136410 Issued in TX
Practice address
11880 Vista del Sol Dr Ste B
El Paso, TX 79936-6128
Phone
(915) 777-3151
Fax
(915) 855-6111
NPI assigned
Mar 7, 2018
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP136410 TX Primary

Addresses

Primary practice location

11880 Vista del Sol Dr Ste B
El Paso, TX 79936-6128

Mailing address

PO Box 961783
El Paso, TX 79996-1783
Phone (915) 777-3151

Other identifiers 1

IdentifierTypeStateIssuer
409916001MedicaidTX

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
I20190531000102 TX Practitioner - Nurse Practitioner 2264765577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Workers Pain Management Center, PLLCGroup PAC ID 6507036431, 2 clinicians

Practice addresses (Care Compare)

11880 Vista del Sol Dr
El Paso, TX 79936-6128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP136410TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Mar 1, 2019 Accepting new patients
Health and Human Services Commission Current Accepting new patients
Workers Pain Management Center, PLLC CurrentSince Jun 1, 2020 Accepting new patients
Health and Human Services Commission CurrentSince Mar 1, 2019 Accepting new patients
Horizon Pediatric Night Clinic Past Accepting new patients
Asqk1, Inc PastSince Jun 21, 2020 Accepting new patients
Andres S Enriquez MD PA Past Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

11880 Vista del Sol Dr
#B
El Paso, TX 79936
Phone (915) 855-7900

11890 Vista del Sol Dr
Ste A-117
El Paso, TX 79936
Phone (915) 777-3151

6700 Delta Dr
El Paso, TX 79905
Phone (915) 782-6300

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1114429974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961783",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799961783",
            "telephone_number": "915-777-3151",
            "fax_number": "915-855-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 VISTA DEL SOL DR STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366128",
            "telephone_number": "915-777-3151",
            "fax_number": "915-855-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTNER",
        "first_name": "LAURA",
        "middle_name": "GRACIELA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP136410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409916001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.