Lavonda Dillard, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP144136 Issued in TX

Practice address

1111 N Interstate 35 E
Desoto, TX 75115-3509

Phone

(469) 607-8448

Fax

(469) 607-8778

NPI assigned

Nov 24, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16728/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Abounding Prosperity Incorporated

  • General Practice Physician
  • Dallas, TX
  • NPI 1003191750
  NPD (past)
• Collins Family Planning Clinic

  • Ambulatory Family Planning Facility
  • Fort Worth, TX
  • NPI 1457804593
  NPD (past)
• Janice -Brown Collins Family Planning Clinic

  • Ambulatory Family Planning Facility
  • Fort Worth, TX
  • NPI 1164576294
  NPD (past)

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

{
    "created_epoch": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1962048074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ELM ST STE 4210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752017282",
            "telephone_number": "469-607-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N INTERSTATE 35 E",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153509",
            "telephone_number": "469-607-8448",
            "fax_number": "469-607-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "LAVONDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-24",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1601 Elm St Ste 4210",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752017282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• DFW Vascular Group LLP
• Diadem Hearts Inc.
• Christian Diaz
• Tiffani Dickerson, RN-IBCLC
• Digitrace Care Services, Inc.
• Divine Boyd Enterprise LLC
• Divine Care
• Divine Heritage Health Home Care Agency LLC
• Catherine L Dixon, NP
• DLB Pharmacy LLC

• Family Nurse Practitioner in Desoto, TX
• Providers in Desoto, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.