Individual provider Active NPI

Lavonda S McLennan, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1407085863
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP118034 Issued in TX
Practice address
5900 W Pleasant Ridge Rd
Arlington, TX 76016-4427
Phone
(817) 478-6041
NPI assigned
Jul 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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 AP118034 TX Primary

Addresses

Primary practice location

5900 W Pleasant Ridge Rd
Arlington, TX 76016-4427

Mailing address

925 Yarwood Way
Burleson, TX 76028-2398
Phone (817) 944-7419

Other identifiers 2

IdentifierTypeStateIssuer
203641003MedicaidTX
203641001MedicaidTX

Other names 1

  • Lavonda S McAlpin Former name

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP118034TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Associates of Southwest Dallas Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1407085863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 YARWOOD WAY",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282398",
            "telephone_number": "817-944-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 W PLEASANT RIDGE RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760164427",
            "telephone_number": "817-478-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLENNAN",
        "first_name": "LAVONDA",
        "middle_name": "S",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP118034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203641003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203641001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAVONDA",
            "last_name": "MCALPIN",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.