Individual provider Active NPI

Lisa Marie Van Guilder, NP-C

  • Family Nurse Practitioner
  • Port Lavaca, TX
National Provider Identifier
1275778433
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1181296 Issued in TX
Practice address
603 State Highway 35 S
Port Lavaca, TX 77979-2411
Phone
(361) 553-6400
Fax
(361) 553-6456
NPI assigned
Dec 2, 2008
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28145291A IN
Family Nurse Practitioner 363LF0000X 71002855A IN
Family Nurse Practitioner 363LF0000X CNP01636 NM
Family Nurse Practitioner 363LF0000X CNP-01636 NM
Family Nurse Practitioner 363LF0000X 1181296 TX Primary
Hospitalist Physician 208M00000X CNP-01636 NM

Addresses

Primary practice location

603 State Highway 35 S
Port Lavaca, TX 77979-2411

Mailing address

603 State Highway 35 S
Port Lavaca, TX 77979-2411
Phone (361) 553-6400

Other practice location 1

202 S Guadalupe St
Carlsbad, NM 88220-5725
Phone (575) 234-1234

Other names 1

  • Lisa M Lesher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20101112000111 NM Practitioner - Nurse Practitioner 6406994003 Reassigns benefits to 2 organizations
I20250819001479 TX Practitioner - Nurse Practitioner 6406994003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

108 Twin Fountains Dr
Victoria, TX 77904-4203
Phone (361) 578-3363

1240 E Palm Valley Blvd
Round Rock, TX 78664-3202
Phone (512) 733-9100

603 State Hwy 35 S
Port Lavaca, TX 77979-2411
Phone (361) 553-6400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP-01636NMMDHospitalist Physician
28145291AINMDFamily Nurse Practitioner
71002855AINMDFamily Nurse Practitioner
CNP01636NMMDFamily Nurse Practitioner
1181296TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ucp Physicians of Central Texas, PLLC CurrentSince Aug 11, 2025 Accepting new patients
Alteon Health New Mexico LLC CurrentSince Sep 13, 2012 Accepting new patients
Lesher Health Clinic LLC Family CurrentSince Feb 4, 2013 Accepting new patients
Ucp Physicians of Central Texas, PLLC Current Accepting new patients
John Lee McNeill, DO, PA PastSince Jul 13, 2025 Accepting new patients

Locations

202 S Guadalupe St
Carlsbad, NM 88220
Phone (575) 234-1234

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

603 State Highway 35 S
Port Lavaca, TX 77979
Phone (361) 553-6400

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

Interoperability endpoints

  • Direct secure messaging: lisa.vanguiderfnp.p6@direct.nextcare.nextgenshare.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1275778433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 STATE HIGHWAY 35 S",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792411",
            "telephone_number": "361-553-6400",
            "fax_number": "361-553-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 STATE HIGHWAY 35 S",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779792411",
            "telephone_number": "361-553-6400",
            "fax_number": "361-553-6456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 S Guadalupe St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882205725",
            "country_code": "US",
            "telephone_number": "575-234-1234",
            "fax_number": "575-234-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN GUILDER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28145291A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002855A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP01636",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01636",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1181296",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NM",
            "license": "CNP-01636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "LESHER",
            "middle_name": "M",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Lavaca, TX

Sources for this page

Verify at the official NPI Registry.