Individual provider Active NPI

Lee Ann Lung, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1528434180
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128852 Issued in TX
Practice address
5414 Fredericksburg Rd
Ste 150
San Antonio, TX 78229-3641
Phone
(210) 615-9800
NPI assigned
Aug 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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 AP128852 TX Primary

Addresses

Primary practice location

5414 Fredericksburg Rd
Ste 150
San Antonio, TX 78229-3641

Mailing address

14410 Staghorn Gate
San Antonio, TX 78233-3824
Phone (210) 279-9579

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
I20151012000095 TX Practitioner - Nurse Practitioner 4789993874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wholistic Wound Care and Wellness PLLCGroup PAC ID 4880126473, 5 clinicians

Practice addresses (Care Compare)

28715 Howards Bull
Fair Oaks Ranch, TX 78015-4338
Phone (210) 279-9579

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pam Physician Enterprise CurrentSince Jul 1, 2019 Accepting new patients
Wholistic Wound Care & Wellness PLLC Family CurrentSince Sep 3, 2024 Accepting new patients
Wholistic Imaging LLC CurrentSince Oct 21, 2025 Accepting new patients
West Coast Wound and Skin Care Inc Past Accepting new patients

Locations

24165 Ih 10 W
Ste 217807
San Antonio, TX 78257

5101 Medical Dr
San Antonio, TX 78229
Phone (210) 592-5438

10323 State Highway 151
San Antonio, TX 78251
Phone (210) 581-5306

19234 Stonehue
Ste B
San Antonio, TX 78258

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.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1528434180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14410 STAGHORN GATE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782333824",
            "telephone_number": "210-279-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 FREDERICKSBURG RD",
            "address_2": "STE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293641",
            "telephone_number": "210-615-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNG",
        "first_name": "LEE",
        "middle_name": "ANN",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.