Individual provider Active NPI

Lacrista Venable, FNP

  • Family Nurse Practitioner
  • Boerne, TX
National Provider Identifier
1265991780
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
API40908 Issued in TX
Practice address
103 Dry CRK
Boerne, TX 78006-2741
Phone
(210) 452-0696
NPI assigned
Mar 14, 2019
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X API40908 TX
Family Nurse Practitioner 363LF0000X API40908 TX Primary

Addresses

Primary practice location

103 Dry CRK
Boerne, TX 78006-2741

Mailing address

103 Dry CRK
Boerne, TX 78006-2741
Phone (210) 452-0696

Other identifiers 1

IdentifierTypeStateIssuer
API140908OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, MO, TN, FL, AZ, CT, OH, KS9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20200227000268 TX Practitioner - Nurse Practitioner 3173950490 Reassigns benefits to 2 organizations
I20240205000459 OK Practitioner - Nurse Practitioner 3173950490
I20240516000697 MO Practitioner - Nurse Practitioner 3173950490 Reassigns benefits to 1 organization
I20240605002303 TN Practitioner - Nurse Practitioner 3173950490
I20240605002823 FL Practitioner - Nurse Practitioner 3173950490
I20240607001731 AZ Practitioner - Nurse Practitioner 3173950490
I20240701000034 CT Practitioner - Nurse Practitioner 3173950490 Reassigns benefits to 1 organization
I20240708002633 OH Practitioner - Nurse Practitioner 3173950490 Reassigns benefits to 1 organization
I20241024002212 KS Practitioner - Nurse Practitioner 3173950490

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 Dry CRK
Boerne, TX 78006-2741
Phone (210) 582-5304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
API40908TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medflex Health Solutions LLC Single Specialty CurrentSince Dec 7, 2024 Accepting new patients
Wissam Khoury DPM LLC Single Specialty CurrentSince Dec 15, 2025 Accepting new patients
Wound Care Consultants LLC Single Specialty CurrentSince Jun 4, 2024 Accepting new patients

Locations

23250 Chagrin Blvd
Ste 150
Beachwood, OH 44122
Phone (216) 402-0027

23250 Chagrin Blvd
Ste 450
Beachwood, OH 44122
Phone (216) 402-0027

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334

Organizations & group practices 5

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": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1265991780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DRY CRK",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062741",
            "telephone_number": "210-452-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DRY CRK",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062741",
            "telephone_number": "210-452-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENABLE",
        "first_name": "LACRISTA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "API40908",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "API40908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "API140908",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.