Individual provider Active NPI

Ayvee Lavender, FNP-C

  • Family Nurse Practitioner
  • Nash, TX
National Provider Identifier
1912403676
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136033 Issued in TX
Practice address
1910 N Kings Hwy Unit 282
Nash, TX 75569-5113
Phone
(903) 705-1618
NPI assigned
Apr 2, 2018
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 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 AP136033 TX Primary
Family Nurse Practitioner 363LF0000X A166587 IA

Addresses

Primary practice location

1910 N Kings Hwy Unit 282
Nash, TX 75569-5113

Mailing address

1910 N Kings Hwy Unit 282
Nash, TX 75569-5113

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
I20241227002654 TX Practitioner - Nurse Practitioner 5092054395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medical Group of TexarkanaGroup PAC ID 3870485626, 12 clinicians

Practice addresses (Care Compare)

5212 W 7TH St
Wake Village, TX 75501-5930
Phone (903) 831-6848

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A166587IAMDFamily Nurse Practitioner
AP136033TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Group of Texarkana CurrentSince Dec 1, 2024 Accepting new patients
Wellmed Medical Group, P.a. Past Accepting new patients
Jitendra N Bhatt, MD, PA Past Accepting new patients

Locations

2101 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 791-9120

4105 N Kings Hwy
Texarkana, TX 75503
Phone (903) 838-0444

5212 W 7th St
Wake Village, TX 75501
Phone (903) 791-9120

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1912403676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 N KINGS HWY UNIT 282",
            "city": "NASH",
            "state": "TX",
            "postal_code": "755695113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 N KINGS HWY UNIT 282",
            "city": "NASH",
            "state": "TX",
            "postal_code": "755695113",
            "telephone_number": "903-705-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "AYVEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136033",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A166587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nash, TX

Sources for this page

Verify at the official NPI Registry.