Individual provider Active NPI

Lisa Carol Beaver, FNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1780094490
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132550 Issued in TX
Practice address
2021 Guadalupe St Ste 260
Austin, TX 78705-5654
Phone
(657) 500-0634
NPI assigned
May 2, 2014
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15638 OH
Family Nurse Practitioner 363LF0000X AP132550 TX Primary

Addresses

Primary practice location

2021 Guadalupe St Ste 260
Austin, TX 78705-5654

Mailing address

2209 Canyon Valley Trail
Plano, TX 75023
Phone (740) 391-3025

Other practice location 1

41000 Woodward Ave
Suite 350 East
Bloomfield Hills, MI 48304
Phone (657) 500-0634

Other practice location 2

2415 East Camelback Road
Suite 700
Phoenix, AZ 85016
Phone (657) 500-0634

Other practice location 3

444 South Center St
Office 1
Casper, WY 82601
Phone (657) 500-0634

Other practice location 4

1580 Logan St
Floor 6
Denver, CO 80203
Phone (657) 500-0634

Other practice location 5

101 S Reid Street
Suite 307
Sioux Falls, SD 57103
Phone (657) 500-0634

Other practice location 6

5 West Mendenhall Street
Suite 202
Bozeman, MT 59715
Phone (657) 500-0634

Other practice location 7

100 S Ashley Drive
Suite 600
Tampa, FL 33602
Phone (657) 500-0634

Other practice location 8

4145 S. W Watson
Suite 350
Beaverton, OR 97005
Phone (657) 500-0634

Other practice location 9

1531 32nd Ave S
Suite 102
Fargo, ND 58103
Phone (657) 500-0634

Other practice location 10

9788 Gilespie St
Suite D-415
Las Vegas, NV 89183
Phone (657) 500-0634

Other practice location 11

3295 W Elder St
Suite 209, Office 219
Boise, ID 83705
Phone (657) 500-0634

Other practice location 12

141 E Palace Ave
Suite 101, Office 8
Santa Fe, NM 87501
Phone (657) 500-0634

Other practice location 13

2033 Gateway Place
5th Floor, Office 647
San Jose, CA 95110
Phone (657) 500-0634

Other practice location 14

1299 Farnam Street
Suite 300
Omaha, NE 68102
Phone (657) 500-0634

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
I20170912002858 TX Practitioner - Nurse Practitioner 8022236777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bicycle Health Medical Group PAGroup PAC ID 0244643872, 23 clinicians

Practice addresses (Care Compare)

700 Milam St
Suite 100
Houston, TX 77002-2833
Phone (844) 943-2514

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15638OHMDFamily Nurse Practitioner
AP132550TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bicycle Health Medical Group PA CurrentSince Nov 4, 2024 Accepting new patients
Physician Services of Ohio LLC PastSince Jun 22, 2016 Accepting new patients
Bicycle Health Provider Group Inc. PastSince Dec 17, 2023 Accepting new patients

Locations

1400 16th St
Ste 400
Denver, CO 80202
Phone (303) 473-0707

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

6901 W Emerald St
Ste 203A
Boise, ID 83704

41000 Woodward Ave
Ste 350E
Bloomfield Hills, MI 48304
Phone (248) 572-1124

41000 Woodward Ave
Ste 350
Bloomfld Hls, MI 48304
Phone (248) 835-5705

20 S 3rd St
Columbus, OH 43215
Phone (614) 532-8744

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

700 Milam St
Ste 100
Houston, TX 77002

Interoperability endpoints

  • Direct secure messaging: lisa.beaver.1@18731.direct.athenahealth.com

Organizations & group practices 3

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": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1780094490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 CANYON VALLEY TRAIL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75023",
            "telephone_number": "740-391-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 GUADALUPE ST STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787055654",
            "telephone_number": "657-500-0634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41000 Woodward Ave",
            "address_2": "Suite 350 East",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "48304",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2415 East Camelback Road",
            "address_2": "Suite 700",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85016",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "444 South Center St",
            "address_2": "Office 1",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "82601",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 Logan St",
            "address_2": "Floor 6",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80203",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 S Reid Street",
            "address_2": "Suite 307",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "57103",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 West Mendenhall Street",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "59715",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Ashley Drive",
            "address_2": "Suite 600",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33602",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4145 S. W Watson",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "97005",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1531  32nd Ave S",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "58103",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9788 Gilespie St",
            "address_2": "Suite D-415",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89183",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3295 W Elder St",
            "address_2": "Suite 209, Office 219",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83705",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 E Palace Ave",
            "address_2": "Suite 101, Office 8",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "87501",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2033 Gateway Place",
            "address_2": "5th Floor, Office 647",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95110",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1299 Farnam Street",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "68102",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAVER",
        "first_name": "LISA",
        "middle_name": "CAROL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "15638",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.