Active NPI
Lee Ann Condron, RN, ACNP
- Nurse Practitioner
- Livingston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP112378
- Practice address
- 1717 Hwy 59 S Bypass
Livingston, TX 77351 - Phone
- (936) 329-8326
- Fax
- (936) 329-8332
- NPI assigned
- Dec 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP112378 | TX | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 533514 | TX |
Addresses
Primary practice location
1717 Hwy 59 S Bypass
Livingston, TX 77351
Mailing address
1704 Cimmarron St
Lufkin, TX 75904-4634
Phone (936) 414-2404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174262901 | Medicaid | TX | |
| 8N8592 | Other | TX | BLUECROSS AND BLUESHIELD OF TEXAS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1717 Hwy 59 Loop N
Memorial Medical Livingston
Livingston, TX 77351-5703
Phone (936) 329-8700
Hospital & facility affiliations
- CHI St Lukes Health Memorial Livingston
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 533514 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Texas, PLLC | Nurse Practitioner | Current | Accepting new patients |
Locations
601 E 15th St
Austin, TX 78701
Phone (512) 324-7868
3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
1717 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 329-8500
1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Nurse Practitioner
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Livingston, TX
- NPI 1689650616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525824000000",
"number": "1962488643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 CIMMARRON ST",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759044634",
"telephone_number": "936-414-2404",
"fax_number": "936-329-8332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 HWY 59 S BYPASS",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "77351",
"telephone_number": "936-329-8326",
"fax_number": "936-329-8332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDRON",
"first_name": "LEE",
"middle_name": "ANN",
"credential": "RN, ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2018-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP112378",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "533514",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174262901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS AND BLUESHIELD OF TEXAS",
"identifier": "8N8592",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.