Individual provider Active NPI

Lisa Spivey, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1710456629
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143025 Issued in TX
Practice address
9140 Guilbeau Rd
San Antonio, TX 78250-3080
Phone
(210) 520-5183
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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 AP143025 TX Primary

Addresses

Primary practice location

9140 Guilbeau Rd
San Antonio, TX 78250-3080

Mailing address

9140 Guilbeau Rd
San Antonio, TX 78250-3080
Phone (210) 520-5183

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
I20211124001477 TX Practitioner - Nurse Practitioner 9830589399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.85 of 100Reported as group
Quality
78.01
Improvement activities
40
Cost
79.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143025TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Texas PLLC Family Current Accepting new patients
Primary Care PLLC Family CurrentSince Oct 8, 2024 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Sep 16, 2021 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Sep 16, 2021 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

2469 Bay Area Blvd
Houston, TX 77058
Phone (281) 474-4042

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

5002 W Main St
League City, TX 77573
Phone (281) 557-4374

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

6915 West Ave
San Antonio, TX 78213
Phone (210) 341-1487

5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311

9140 Guilbeau Rd
San Antonio, TX 78250
Phone (210) 520-5183

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1710456629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 GUILBEAU RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782503080",
            "telephone_number": "210-520-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 GUILBEAU RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782503080",
            "telephone_number": "210-520-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "LISA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.