Lisa Marie Phelps

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

1035476 Issued in TX

Practice address

1108 Lavaca St
Austin, TX 78701-2172

Phone

(512) 477-4088

NPI assigned

Jul 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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 Internists of Texas, LLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1912430281
  NPD (past)

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1326729351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 TURNERSVILLE RD",
            "city": "CREEDMOOR",
            "state": "TX",
            "postal_code": "786103920",
            "telephone_number": "512-217-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 LAVACA ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012172",
            "telephone_number": "512-477-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "1035476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PHCC-Brodie Ranch Rehabilitation & Health Care Center, LLC (South Oaks Rehabilitation and Health Care Center)
• PHCC-Riverside Rehabilitation and Health Care Center, LLC (Riverside Rehabilitation and Health Care Center)
• PHCC-West Oaks Rehabilitation & Health Care Center Austin, LLC (West Oaks Rehabilitation & Healthcare Center)
• Emily Phelps, MA
• Gregory Phelps
• Phgtx Inc.
• Jennifer Philbrook
• Anjana Philip, M.D.
• Anne Phillippe
• Akilah Nisaa Phillips, MS, RD, CSSD

• General Practice Registered Nurse in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.