Active NPI
Lauren Alexis Skye Segovia, CTRS
- Recreation Therapist
- Lakeway, TX
National Provider Identifier
1801677208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 86361
- Practice address
- 2000 Medical Dr
Lakeway, TX 78734-4200 - Phone
- (512) 263-4500
- NPI assigned
- Oct 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 86361 | TX | Primary |
Addresses
Primary practice location
2000 Medical Dr
Lakeway, TX 78734-4200
Mailing address
412 E William Cannon Dr Apt 1023
Austin, TX 78745-5773
Phone (956) 475-4125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86361 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1801677208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 E WILLIAM CANNON DR APT 1023",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787455773",
"telephone_number": "956-475-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEDICAL DR",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787344200",
"telephone_number": "512-263-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGOVIA",
"first_name": "LAUREN",
"middle_name": "ALEXIS SKYE",
"credential": "CTRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-11",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "TX",
"license": "86361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.