Autumn N. Lydick, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP138586 Issued in TX

Practice address

504 Medical Center Blvd Ste 300
Conroe, TX 77304-2808

Phone

(409) 749-4193

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• TMH Physician Associates PLLC

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1275779225
  Medicare reassignment NPD
• Hospital Docs PA

  • Internal Medicine Physician
  • Montgomery, TX
  • NPI 1871792309
  Medicare reassignment
• TMH Physician Associates PLLC

  • Orthopaedic Surgery Physician
  • Spring, TX
  • NPI 1043061351
  NPD
• TMH Physician Associates PLLC

  dba TMHPO Orthopedics Department

  • Orthopaedic Surgery Physician
  • Pearland, TX
  • NPI 1386827442
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1932680105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 CLEAR FALLS DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391962",
            "telephone_number": "409-749-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MEDICAL CENTER BLVD STE 300",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042808",
            "telephone_number": "409-749-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDICK",
        "first_name": "AUTUMN",
        "middle_name": "N.",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP138586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Lozoya
• Robin Lucadou, COTA
• Jarred Luis
• Laquitha Shearee Lundie, LPC
• James Alfred Lutonsky Jr., DDS
• Tina Marie Lynch, LVN
• Tennie Lyons, RN
• M & M Diagnosics, LLC
• Sarah Jayne Mabee
• Kate Bolou Mabinton, RN

• Acute Care Nurse Practitioner in Conroe, TX
• Providers in Conroe, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.