Individual provider Active NPI

Lian Feng Yuan, FNP

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1669755914
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP120605 Issued in TX
Practice address
1210 West Braker Lane
Austin, TX 78758-3308
Phone
(512) 978-9300
NPI assigned
Sep 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP120605 TX Primary

Addresses

Primary practice location

1210 West Braker Lane
Austin, TX 78758-3308

Mailing address

15 Waller St
5TH Floor
Austin, TX 78702-5240
Phone (512) 978-9000

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
I20190425002443 TX Practitioner - Nurse Practitioner 4082956941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Davids Carenow Urgent Care PLLCGroup PAC ID 4284918418, 101 clinicians

Practice addresses (Care Compare)

208 W Ben White Blvd
Austin, TX 78704-7126
Phone (512) 861-8060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP120605TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. David's Carenow Urgent Care PLLC CurrentSince Oct 10, 2019 Accepting new patients
Medspring of Texas, PA Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

11521 N Ranch Road 620
Ste 100
Austin, TX 78726
Phone (512) 402-6830

208 W Ben White Blvd
Austin, TX 78704
Phone (512) 351-4310

5033 W Highway 290
Austin, TX 78735
Phone (512) 265-8980

5001 183A Toll Rd
Ste R100
Cedar Park, TX 78613
Phone (512) 595-7000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1669755914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WALLER ST",
            "address_2": "5TH FLOOR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787025240",
            "telephone_number": "512-978-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 WEST BRAKER LANE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583308",
            "telephone_number": "512-978-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUAN",
        "first_name": "LIAN FENG",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2021-12-03",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP120605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.