Active NPI
Lea Lopez-Fagin, FNP
- Family Nurse Practitioner
- Shavano Park, TX
National Provider Identifier
1306953385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 428422
- Practice address
- 13409 NW Military Hwy
Suite 302
Shavano Park, TX 78231-1800 - Phone
- (210) 479-3297
- Fax
- (210) 479-3295
- NPI assigned
- Aug 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 428422 | TX | Primary |
Addresses
Primary practice location
13409 NW Military Hwy
Suite 302
Shavano Park, TX 78231-1800
Mailing address
13409 NW Military Hwy
Suite 302
Shavano Park, TX 78231-1800
Phone (210) 479-3297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142765002 | Medicaid | TX |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1306953385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13409 NW MILITARY HWY",
"address_2": "SUITE 302",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782311800",
"telephone_number": "210-479-3297",
"fax_number": "210-479-3295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13409 NW MILITARY HWY",
"address_2": "SUITE 302",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782311800",
"telephone_number": "210-479-3297",
"fax_number": "210-479-3295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ-FAGIN",
"first_name": "LEA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "428422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142765002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shavano Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.