Individual provider Active NPI

Samantha Lagac, LVN

  • Licensed Practical Nurse
  • San Antonio, TX
National Provider Identifier
1972003457
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
326251 Issued in TX
Practice address
2040 Babcock Rd Ste 304
San Antonio, TX 78229-4428
Phone
(210) 731-9570
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 326251 TX Primary

Addresses

Primary practice location

2040 Babcock Rd Ste 304
San Antonio, TX 78229-4428

Mailing address

8001 S US Highway 75
Sherman, TX 75090-5707
Phone (903) 532-1400

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

State licenses

LicenseStateTypeSpecialty
326251TXMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aoc FL, LLC PastSince Nov 17, 2019 Accepting new patients
Aoc TX, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1972003457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 S US HIGHWAY 75",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905707",
            "telephone_number": "903-532-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 BABCOCK RD STE 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294428",
            "telephone_number": "210-731-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGAC",
        "first_name": "SAMANTHA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "326251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.