Individual provider Active NPI

Sativa Lackey, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1639795131
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143975 Issued in TX
Practice address
4303 Victory Dr
Austin, TX 78704-7507
Phone
(512) 462-3627
Fax
(512) 462-2898
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 AP143975 TX Primary

Addresses

Primary practice location

4303 Victory Dr
Austin, TX 78704-7507

Mailing address

113 S Thomas CV
Burnet, TX 78611-2086
Phone (512) 944-6548

Other practice location 1

100 College St
Round Rock, TX 78664-4415
Phone (512) 614-2851

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
I20201230001052 TX Practitioner - Nurse Practitioner 3971916495 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trumen Physician and Associates Post Acute PLLCGroup PAC ID 5496236788, 127 clinicians
Trumen Physicians and Associates PLLCGroup PAC ID 7618006883, 133 clinicians

Practice addresses (Care Compare)

2626 S Loop W
Suite 265
Houston, TX 77054-5636
Phone (713) 796-9955

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Observation Medicine Services of Texas PLLC CurrentSince Oct 6, 2021 Accepting new patients
Travis County Emergency Physicians PA CurrentSince Oct 6, 2021 Accepting new patients
Trumen Physicians and Associates PLLC Family CurrentSince Sep 1, 2025 Accepting new patients
Curana Health Medical Group LLC Nurse Practitioner CurrentSince Sep 16, 2021 Accepting new patients
Longhorn Emergency Medical Associates PA Nurse Practitioner CurrentSince Sep 25, 2024 Accepting new patients
Access Health Urgent Care PLLC CurrentSince Nov 6, 2023 Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

9010 N Lake Creek Pkwy
Austin, TX 78717
Phone (737) 707-6000

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

630 W State Highway 71
Bastrop, TX 78602
Phone (512) 715-3114

101 Leffingwell Ln
Burnet, TX 78611
Phone (337) 277-8630

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

7887 Cambridge St
Houston, TX 77054
Phone (713) 796-2777

2626 S Loop W
Ste 265
Houston, TX 77054
Phone (713) 796-9955

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • Direct secure messaging: sativa.lackey@260590570373124.direct.elationemr.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/26722/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1639795131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S THOMAS CV",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786112086",
            "telephone_number": "512-944-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 VICTORY DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047507",
            "telephone_number": "512-462-3627",
            "fax_number": "512-462-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 College St",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786644415",
            "country_code": "US",
            "telephone_number": "512-614-2851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACKEY",
        "first_name": "SATIVA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.