Lilian William Paulla
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Fairview, TX
NPI 1780396382 · NPPES record last updated Dec 15, 2022
Key facts
- NPI
- 1780396382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1099807 (TX)
- Practice address
- 5558 Emerson CT
Fairview, TX 75069-6809 - Phone
- (972) 900-1745
- NPI assigned
- Dec 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lourdes Hospital LLC
Practice addresses (Care Compare)
1175 Carondelet Dr
Richland, WA 99354-3300
Phone (509) 943-9104
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240205002368 | WA | Practitioner - Nurse Practitioner | 6305289505 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1099807 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Behavioral Home Health LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Lourdes Hospital LLC | Current |
Accepting new patients | |
| Senaya Primary Psychiatry PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
8656 W Gage Blvd
Ste A106
Kennewick, WA 99336
Phone (509) 366-2108
1200 N 14th Ave
Pasco, WA 99301
Phone (509) 547-7536
7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027
1175 Carondelet Dr
Richland, WA 99354
Phone (509) 943-9104
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1099807 | TX | Yes |
Addresses
Primary practice location
5558 Emerson CT
Fairview, TX 75069-6809
Mailing address
5558 Emerson CT
Fairview, TX 75069-6809
Phone (972) 900-1745
Other providers in Fairview, TX
- Mentality PLLC
- Mobility Healthcare Group LLC
- Moms Choice Mobile Healthcare
- Derek Anthony Nelson
- Nneoma Eucharia Nwachukwu
- Paxmind Behavioral Health PLLC
- Paytech Service LLC
- Michael Peterson
- Phaug LLC
- Tina Carol Rekieta
All providers in Fairview, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.