Individual provider Active NPI

Michelle Anne Lively, RNC, WHNP-BC, FNP-C

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1851492870
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
633908 Issued in TX
Practice address
5301 Alamo Pkwy
San Antonio, TX 78253-6771
Phone
(210) 688-9311
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 633908 TX
Family Nurse Practitioner 363LF0000X 633908 TX Primary

Addresses

Primary practice location

5301 Alamo Pkwy
San Antonio, TX 78253-6771

Mailing address

2279 Frontier
Spring Branch, TX 78070-5943
Phone (308) 261-8992

Other names 1

  • Ms. Michelle Anne Rhodes Former name

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
I20130508000052 TX Practitioner - Nurse Practitioner 5496992620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Service Agency, Inc. 26 clinicians

Practice addresses (Care Compare)

2600 Commerce Way
Kaufman, TX 75142-7325
Phone (972) 750-3177

91 W Side SQ
Cooper, TX 75432-1725
Phone (903) 395-0586

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Dec 7, 2022 Accepting new patients
Nluc PLLC Current Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Oct 2, 2024 Accepting new patients
Nluc PLLC CurrentSince Dec 7, 2022 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Oct 2, 2024 Accepting new patients

Locations

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Interoperability endpoints

  • Direct secure messaging: michelle.livelyfnp.p6@direct.nextcare.nextgenshare.com

Organizations & group practices 12

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1851492870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 FRONTIER",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780705943",
            "telephone_number": "308-261-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 ALAMO PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536771",
            "telephone_number": "210-688-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVELY",
        "first_name": "MICHELLE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RNC, WHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "633908",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "633908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "RHODES",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "RN, WHNP-BC, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.