Lisa Danielle Proctor, APRN FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1058113 Issued in TX

Practice address

3593 E Grande Blvd
Tyler, TX 75707-1400

Phone

(903) 606-1664

Fax

(903) 525-1590

NPI assigned

Nov 3, 2021

Last updated

Sep 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

D and F Med, PLLCGroup PAC ID 6507774668, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• D & F Med, PLLC

  dba Groveton Family Medical Clinic

  • Rural Health Clinic/Center
  • Groveton, TX
  • NPI 1114149671
  Medicare reassignment Care Compare group NPD
• Burke Center

  • Psychiatry Physician
  • Lufkin, TX
  • NPI 1396792420
  Medicare reassignment NPD
• Health and Human Services Commission

  dba Rio Grande State Center

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692
  Medicare reassignment NPD
• D & F Med, PLLC

  dba Greenville Family Medical Clinic

  • Rural Health Clinic/Center
  • Greenville, TX
  • NPI 1124905666
  NPD
• Health and Human Services Commission

  • Intellectual Disabilities Intermediate Care Facility
  • Lubbock, TX
  • NPI 1649363326
  NPD
• Health and Human Services Commission

  dba Big Spring State Hospital

  • Psychiatric Hospital
  • Big Spring, TX
  • NPI 1881600682
  NPD
• Burke Center

  • Developmental Disabilities Clinic/Center
  • Lufkin, TX
  • NPI 1164572772
  NPD (past)

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1508521584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N BEECH ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794718",
            "telephone_number": "409-283-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3593 E GRANDE BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757071400",
            "telephone_number": "903-606-1664",
            "fax_number": "903-525-1590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 N Beech St",
            "address_purpose": "LOCATION",
            "city": "Woodville",
            "state": "TX",
            "postal_code": "759794718",
            "country_code": "US",
            "telephone_number": "409-283-2822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "LISA",
        "middle_name": "DANIELLE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1058113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "1058113",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark D Prince, MD
• Kelly Prior
• Ami Francis Pritchett, RN
• Pro Health Chiropractic
• Alyssa Proctor, PHARMD, BCACP
• Professional Dental Alliance of TX 43004 PLLC
• Project Empowering, Inc
• Charlie Wayne Propst, MD
• Sherrie Amanda Prosper, COTA
• James Carey Prosperie, RPH

• Family Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.