Individual provider Active NPI

Lilian Abagwe, NP

  • Family Nurse Practitioner
  • Wylie, TX
National Provider Identifier
1396215620
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139852 Issued in TX
Practice address
1108 Ann Dr
Wylie
Wylie, TX 75098
Phone
(214) 727-3575
NPI assigned
Nov 29, 2018
Last updated
Nov 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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 AP139852 TX Primary

Addresses

Primary practice location

1108 Ann Dr
Wylie
Wylie, TX 75098

Mailing address

1108 Ann Dr
Wylie, TX 75098-6938
Phone (469) 304-0276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, 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
I20210201002774 AZ Practitioner - Nurse Practitioner 6709290893 Reassigns benefits to 1 organization
I20210202003273 TX Practitioner - Nurse Practitioner 6709290893 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Jan 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Jan 1, 2021 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Signify Health, LLC CurrentSince Feb 1, 2026 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 29, 2020 Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

3800 N Central Ave
Ste 460
Phoenix, AZ 85012
Phone (469) 466-7006

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1396215620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 ANN DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750986938",
            "telephone_number": "469-304-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 ANN DR",
            "address_2": "WYLIE",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "214-727-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAGWE",
        "first_name": "LILIAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.