Active NPI
Loretta Lee Mayer, DNP, NP-C, APRN, RN
- Family Nurse Practitioner
- Round Rock, TX
National Provider Identifier
1861037624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP142697
- Practice address
- 16040 Park Valley Dr # B-100
Round Rock, TX 78681-3578 - Phone
- (512) 218-1222
- Fax
- (512) 341-0425
- NPI assigned
- Nov 15, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP142697 | TX | Primary |
Addresses
Primary practice location
16040 Park Valley Dr # B-100
Round Rock, TX 78681-3578
Mailing address
16040 Park Valley Dr # B-100
Round Rock, TX 78681-3578
Phone (512) 218-1222
Other names 1
- Loretta Lee Mayer
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP142697 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Neurology Consultants, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Round Rock, TX
- NPI 1790718146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1861037624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16040 PARK VALLEY DR # B-100",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786813578",
"telephone_number": "512-218-1222",
"fax_number": "512-341-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16040 PARK VALLEY DR # B-100",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786813578",
"telephone_number": "512-218-1222",
"fax_number": "512-341-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "LORETTA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DNP, NP-C, APRN, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-15",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP142697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORETTA",
"last_name": "MAYER",
"middle_name": "LEE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.