Lavonne Michelle Berner, APRN CPNP-PC
Individual provider Active NPI Pediatric Nurse Practitioner · Highland Village, TX
NPI 1447918784 · NPPES record last updated Dec 3, 2021
Key facts
- NPI
- 1447918784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 1060012 (TX)
- Practice address
- 2540 Justin Rd Ste 189
Highland Village, TX 75077-3195 - Phone
- (972) 318-0030
- Fax
- (972) 318-0033
- NPI assigned
- Dec 3, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250203002200 | TX | Practitioner - Nurse Practitioner | 1052841244 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Congenital Heart Surgery Center PLLC | Current |
Accepting new patients | |
| Preferred Pediatrics Urgent Care for Kids PLLC | Past |
Accepting new patients | |
| Preferred Pediatrics Primary Care, PLLC | Past |
Accepting new patients | |
| Medical City OB-GYN, PLLC | Past |
Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
7777 Forest Ln
Ste D1130
Dallas, TX 75230
Phone (214) 824-2563
7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1060012 | TX | Yes |
Addresses
Primary practice location
2540 Justin Rd Ste 189
Highland Village, TX 75077-3195
Mailing address
2540 Justin Rd Ste 189
Highland Village, TX 75077-3195
Phone (972) 318-0030
Other practice location 1
7101 Smoketree Trl
Denton, TX 76208-7379
Phone (469) 323-1127
Other providers in Highland Village, TX
- Jonathan Mattew Bell
- Christopher Benitez
- Benjamin J Linden MD PA
- Derek Michael Benson
- Martha Frances Bergen
- Megan Leigh Bittick
- Akosua Boatemaa
- Amelia Bogucki
- Jennifer Marie Bontreger
- Melinda Hopson Bradley
All providers in Highland Village, TX · Pediatric Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.