Organization Active NPI

Lucid Sleep Doctors PLLC

  • Sleep Medicine (Internal Medicine) Physician
  • Kerrville, TX
National Provider Identifier
1134920911
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
LUCID SLEEP DOCTORS PLLC
Practice address
2105 Sidney Baker St Ste 200
Kerrville, TX 78028-2563
Phone
(210) 899-6730
Fax
(833) 776-0625
NPI assigned
Mar 19, 2025
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Tiffini StrattonNPI 1710163209
Title
Authorized Offical
Phone
(210) 899-6730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X NU
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU Primary
Pediatric Sleep Medicine Physician 2080S0012X NU

Addresses

Primary practice location

2105 Sidney Baker St Ste 200
Kerrville, TX 78028-2563

Mailing address

8435 Wurzbach Rd Ste 302
San Antonio, TX 78229-3374
Phone (210) 899-6730

Other practice location 1

8435 Wurzbach Rd Ste 302
San Antonio, TX 78229-3374
Phone (210) 899-6730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250822003618 TX Part B Supplier - Clinic/Group Practice 8224538319 Receives reassigned benefits from 3 practitioners
Practice locations: Kerrville, TX

National Provider Directory

National Provider Directory

Locations

8435 Wurzbach Rd
Ste 302
San Antonio, TX 78229
Phone (210) 899-6730

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1134920911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8435 WURZBACH RD STE 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293374",
            "telephone_number": "210-899-6730",
            "fax_number": "833-776-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 SIDNEY BAKER ST STE 200",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780282563",
            "telephone_number": "210-899-6730",
            "fax_number": "833-776-0625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8435 Wurzbach Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293374",
            "country_code": "US",
            "telephone_number": "210-899-6730",
            "fax_number": "833-776-0625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUCID SLEEP DOCTORS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-19",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "TIFFINI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "210-899-6730"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.