Diana Assava

Individual provider Active NPI Family Nurse Practitioner · Georgetown, TX

NPI 1508226804 · NPPES record last updated Jun 27, 2025

Key facts

NPI
1508226804
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
AP130453 (TX)
Practice address
2423 Williams Dr Ste 113
Georgetown, TX 78628-3269
Phone
(877) 800-5722
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

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 IDStateProvider typePAC IDDetails
I20241211002557 TX Practitioner - Nurse Practitioner 7911433107 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Circle of Care Current Accepting new patients
Lone Star Circle of Care Current
since Jan 6, 2025
Accepting new patients
Lone Star Circle of Care Current
since Jan 6, 2025
Accepting new patients
Lone Star Circle of Care Past Accepting new patients

Locations

1221 W Ben White Blvd
Ste 200B
Austin, TX 78704
Phone (512) 524-9249

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Ste 113
Georgetown, TX 78628
Phone (512) 863-9208

2423 Williams Dr
Ste 107
Georgetown, TX 78628
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 341-8908

Interoperability endpoints

  • Direct secure messaging: diana.assava.1@29821.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP130453 TX
Family Nurse Practitioner 363LF0000X AP130453 TX Yes

Addresses

Primary practice location

2423 Williams Dr Ste 113
Georgetown, TX 78628-3269

Mailing address

2423 Williams Dr Ste 107
Georgetown, TX 78628-3269
Phone (877) 800-5722

Other practice location 1

10616 Meadowglen Ln Apt 2016
Houston, TX 77042-4024
Phone (713) 397-6110

Other providers in Georgetown, TX

All providers in Georgetown, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.