Individual provider Active NPI

Lara Christian Lovell, FNP

  • Family Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1447268750
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP112809 Issued in TX
Practice address
1207 Arista Drive
Suite 103
Rockwall, TX 75032
Phone
(469) 402-1877
Fax
(469) 402-1969
NPI assigned
Aug 3, 2006
Last updated
Aug 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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 AP112809 TX Primary

Addresses

Primary practice location

1207 Arista Drive
Suite 103
Rockwall, TX 75032

Mailing address

620 N Kimball Ave
Suite 100
Southlake, TX 76092
Phone (817) 328-8376

Other identifiers 2

IdentifierTypeStateIssuer
TX 697051OtherTXREGISTERED NURSE BNE
697051OtherTXFNP-C

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150901001012 TX Practitioner - Nurse Practitioner 8224344577 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1652TNMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physicians Primary Care, PLLC CurrentSince May 31, 2015 Accepting new patients
Terri Suresh Acnp PLLC Past Accepting new patients

Locations

502 W Kearney St
Ste 700
Mesquite, TX 75149
Phone (972) 288-7337

519 E Interstate 30
Rockwall, TX 75087
Phone (469) 698-8500

6800 Heritage Pkwy
Ste 201
Rockwall, TX 75087
Phone (972) 412-8700

6110 Dalrock Rd
Ste B
Rowlett, TX 75088

Organizations & group practices 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1447268750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N KIMBALL AVE",
            "address_2": "SUITE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-328-8376",
            "fax_number": "817-328-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 ARISTA DRIVE",
            "address_2": "SUITE 103",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "75032",
            "telephone_number": "469-402-1877",
            "fax_number": "469-402-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELL",
        "first_name": "LARA",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP112809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE BNE",
            "identifier": "TX 697051",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP-C",
            "identifier": "697051",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.