Active NPI
Lilian Nicole Machuca, APRN
- Family Nurse Practitioner
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1091847
- 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, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7073000552 | CA | MD | Registered Nurse |
| 768672 | TX | MD | Registered Nurse |
| 1091847 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Dermatology, PA | Current | Accepting new patients | |
| Open Door Community Health Centers | Past | 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.
-
- Specialist
- West Lake Hills, TX
- NPI 1164566246
-
dba Del Norte Mobile Health Services
- Federally Qualified Health Center (FQHC)
- Crescent City, CA
- NPI 1053151811
-
dba Open Door Downtown
- Federally Qualified Health Center (FQHC)
- Eureka, CA
- NPI 1831713452
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.