Individual provider Active NPI

Lia Giannotti Stratton, FNP-C

  • Dermatology Physician
  • West Lake Hills, TX
National Provider Identifier
1972045987
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
AP132492 Issued in TX
Practice address
102 Westlake Dr Ste 100
West Lake Hills, TX 78746-5373
Phone
(512) 327-7779
Fax
(512) 444-0977
NPI assigned
Nov 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 AP132492 TX
Dermatology Physician 207N00000X AP132492 TX Primary

Addresses

Primary practice location

102 Westlake Dr Ste 100
West Lake Hills, TX 78746-5373

Mailing address

102 Westlake Dr
West Lake Hills, TX 78746-5394
Phone (512) 327-7779

Other names 1

  • Lia Giannotti Former name

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
I20170418000402 TX Practitioner - Nurse Practitioner 2264718733 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Dermatology PAGroup PAC ID 7113043654, 7 clinicians
Austin Skin PLLCGroup PAC ID 7113352766, 6 clinicians

Practice addresses (Care Compare)

102 Westlake Dr
Austin, TX 78746-5373

15601 W Hwy 71
Suite 200
Austin, TX 78738-1576
Phone (737) 727-7546

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP132492TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Creek Dermatology Dermatology CurrentSince Jun 22, 2022 Accepting new patients
Central Texas Dermatology, PA CurrentSince Dec 1, 2019 Accepting new patients
Karis McCarroll MD PA PastSince Oct 17, 2010 Accepting new patients
Dallas Endovascular PLLC PastSince Jun 22, 2022 Accepting new patients

Locations

904 Ford St
Llano, TX 78643
Phone (830) 953-1700

102 Westlake Dr
Ste 100
West Lake Hills, TX 78746
Phone (512) 327-7779

Organizations & group practices 5

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": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972045987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WESTLAKE DR",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465394",
            "telephone_number": "512-327-7779",
            "fax_number": "512-444-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WESTLAKE DR STE 100",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465373",
            "telephone_number": "512-327-7779",
            "fax_number": "512-444-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNOTTI STRATTON",
        "first_name": "LIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132492",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "AP132492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIA",
            "last_name": "GIANNOTTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.