Organization Active NPI

Lakewood Integrative Health & Wellness, PLLC

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1417801994
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LAKEWOOD INTEGRATIVE HEALTH & WELLNESS, PLLC
Practice address
6331 Prospect Ave
Dallas, TX 75214-3938
Phone
(214) 821-6331
Fax
(214) 821-6332
NPI assigned
Feb 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Tara Nicole Cavazos, FNPNPI 1235398249
Title
Owner
Phone
(214) 821-6331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6331 Prospect Ave
Dallas, TX 75214-3938

Mailing address

6331 Prospect Ave
Dallas, TX 75214-3938
Phone (214) 821-6331

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2340828Lakewood Integrative Health6331 Prospect Ave, Dallas, TX 75214Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1417801994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6331 PROSPECT AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143938",
            "telephone_number": "214-821-6331",
            "fax_number": "214-821-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6331 PROSPECT AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143938",
            "telephone_number": "214-821-6331",
            "fax_number": "214-821-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD INTEGRATIVE HEALTH & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-821-6331",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.