Autum Lynn Desoto, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P6374 Issued in TX

Practice address

5215 96TH St
Lubbock, TX 79424-4413

Phone

(806) 780-6868

Fax

(806) 780-2065

NPI assigned

Apr 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Covenant Medical Group

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1376598904

  Pediatrics

  Medicare reassignment NPD
• Covenant Medical Group

  dba Covenant Family Healthcare Center

  • Rural Health Clinic/Center
  • Abernathy, TX
  • NPI 1538412895
  NPD
• Cheryl C. Landry, MD PA

  • Legal Medicine
  • Lubbock, TX
  • NPI 1093025447
  NPD (past)
• West Texas Pediatrics LLP

  • Pediatrics Physician
  • Lubbock, TX
  • NPI 1982649307
  NPD (past)

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1730404872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 96TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794244413",
            "telephone_number": "806-780-6868",
            "fax_number": "806-780-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 96TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794244413",
            "telephone_number": "806-780-6868",
            "fax_number": "806-780-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOTO",
        "first_name": "AUTUM",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P6374",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Derrick
• William Patrick Derrick
• Elda Antonia Desantiago
• Desert Sky Family Therapy LLC
• Sterling Joseph Deshazo
• Destiny Staffing Solutions (Billy)
• Morgan N Detrixhe
• Christopher Detten
• Cooper Paul Deupree, MD
• Akash Dev

• Pediatrics Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.