Individual provider Active NPI

Lilian Nicole Machuca, APRN

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1184866790
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1091847 Issued in TX
Practice address
14101 W Hwy 290 Ste 500B
Austin, TX 78737-9338
Phone
(512) 270-1249
NPI assigned
Mar 27, 2009
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1091847 TX Primary
Registered Nurse 163W00000X 768672 TX
Registered Nurse 163W00000X 7073000552 CA

Addresses

Primary practice location

14101 W Hwy 290 Ste 500B
Austin, TX 78737-9338

Mailing address

13208 Cardinal Flower Dr
Austin, TX 78739-2169
Phone (512) 619-2069

Other practice location 1

550 E Washington Blvd
Suite 100
Crescent City, CA 95531-8160
Phone (707) 465-6925

Other practice location 2

102 Westlake Dr Ste 100
West Lake Hills, TX 78746-5373
Phone (512) 327-7779

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7073000552CAMDRegistered Nurse
768672TXMDRegistered Nurse
1091847TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Dermatology, PA CurrentSince Jul 1, 2022 Accepting new patients
Open Door Community Health Centers PastSince Jun 2, 2024 Accepting new patients
Open Door Community Health Centers Past Accepting new patients

Locations

102 Westlake Dr
Ste 100
West Lake Hills, TX 78746
Phone (512) 327-7779

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, 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": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1184866790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13208 CARDINAL FLOWER DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787392169",
            "telephone_number": "512-619-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14101 W HWY 290 STE 500B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787379338",
            "telephone_number": "512-270-1249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 E Washington Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Crescent City",
            "state": "CA",
            "postal_code": "955318160",
            "country_code": "US",
            "telephone_number": "707-465-6925",
            "fax_number": "707-465-6070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Westlake Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "787465373",
            "country_code": "US",
            "telephone_number": "512-327-7779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACHUCA",
        "first_name": "LILIAN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1091847",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "768672",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "7073000552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.