Individual provider Active NPI

Lara Alayna Granger, NP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1679335541
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1138950 Issued in TX
Practice address
19500 W Interstate 10 FL 5
San Antonio, TX 78257-9509
Phone
(469) 776-6222
Fax
(866) 322-2309
NPI assigned
Jan 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 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 1138950 TX Primary

Addresses

Primary practice location

19500 W Interstate 10 FL 5
San Antonio, TX 78257-9509

Mailing address

19500 W Interstate 10 FL 5
San Antonio, TX 78257-9509

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
I20250411001113 TX Practitioner - Nurse Practitioner 2062936040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78257
Phone (210) 617-4706

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1138950TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. CurrentSince Jan 3, 2025 Accepting new patients
Wellmed Medical Group, PA CurrentSince Jan 3, 2025 Accepting new patients

Locations

909 Hidden Rdg
Ste 300
Irving, TX 75038
Phone (214) 766-3503

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

19500 Ih 10 W
Stop 24090
San Antonio, TX 78257
Phone (210) 762-3662

19500 W Interstate 10
Fl 5
San Antonio, TX 78257

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

19500 Ih 10 W
#15030
San Antonio, TX 78257
Phone (210) 617-4607

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1679335541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 W INTERSTATE 10 FL 5",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782579509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 W INTERSTATE 10 FL 5",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782579509",
            "telephone_number": "469-776-6222",
            "fax_number": "866-322-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "LARA",
        "middle_name": "ALAYNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1138950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.