Individual provider Active NPI

Stormy Lopez, NP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1215611421
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1125509 Issued in TX
Practice address
8229 Shoal Creek Blvd Ste 101
Austin, TX 78757-7556
Phone
(512) 691-7077
NPI assigned
Jun 9, 2023
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1125509 TX Primary

Addresses

Primary practice location

8229 Shoal Creek Blvd Ste 101
Austin, TX 78757-7556

Mailing address

8229 Shoal Creek Blvd Ste 101
Austin, TX 78757-7556
Phone (512) 691-7077

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
I20230809000109 TX Practitioner - Nurse Practitioner 6406218478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Sleep Medicine Associates, PAGroup PAC ID 1052404050, 10 clinicians

Practice addresses (Care Compare)

8229 Shoal Creek Blvd
Suite 101
Austin, TX 78757-7556
Phone (512) 691-7077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1125509TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Sleep Medicine Associates, PA CurrentSince Jun 9, 2023 Accepting new patients
Oliver Street 5.01(a) Inc. PastSince Jun 9, 2023 Accepting new patients

Locations

8229 Shoal Creek Blvd
Ste 101
Austin, TX 78757
Phone (512) 371-7400

Organizations & group practices 2

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": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1215611421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8229 SHOAL CREEK BLVD STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577556",
            "telephone_number": "512-691-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8229 SHOAL CREEK BLVD STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577556",
            "telephone_number": "512-691-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "STORMY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1125509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.