Active NPI
Lyzete Akwi Talla, DNP, FNP-C
- Primary Care Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP137487
- Practice address
- 5515 E. Evans Road
Suite 201
San Antonio, TX 78261 - Phone
- (210) 290-9740
- Fax
- (210) 291-9741
- NPI assigned
- Aug 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 782593 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | AP137487 | TX | Primary |
Addresses
Primary practice location
5515 E. Evans Road
Suite 201
San Antonio, TX 78261
Mailing address
5515 E Evans Rd Ste 201
San Antonio, TX 78261-2025
Phone (210) 290-9740
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7195
260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747
5515 E Evans Rd
Suite 201
San Antonio, TX 78261-2025
Phone (210) 290-9740
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 782593 | TX | MD | Registered Nurse |
| AP137487 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Inpatient Physicians of Texas I, Inc | Current | Accepting new patients | |
| Usacs Integrated Acute Care Services of Texas, PLLC | Current | Accepting new patients | |
| Amour Hospice LLC | Current | Accepting new patients | |
| Sound Inpatient Physicians of Texas I, Inc | Current | Accepting new patients | |
| Sound Inpatient Physicians of Texas I, Inc | Current | Accepting new patients | |
| Amour Home Health LLC | Current | Accepting new patients | |
| VHS San Antonio Partners LLC | Past | Accepting new patients |
Locations
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323
253 Enterprise Dr
McKinney, TX 75069
Phone (972) 542-2695
520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412
111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000
21720 Hardy Oak Blvd
Ste 106
San Antonio, TX 78258
Phone (830) 714-9292
17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Amour Home Health, LLC | Home health agency | 5% Or Greater Direct Ownership Interest (50%) Corporate Officer (50%) Corporate Director (50%) Operational/Managerial Control (50%) |
May 3, 2016 May 3, 2016 May 3, 2016 May 3, 2016 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- San Antonio, TX
- NPI 1003327891
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control
Organizations & group practices 8
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
- Cedar Park, TX
- NPI 1801300322
-
- Primary Care Nurse Practitioner
- San Antonio, TX
- NPI 1477200657
-
- Family Medicine Physician
- Sugar Land, TX
- NPI 1831424563
-
- Home Health Agency
- San Antonio, TX
- NPI 1003327891
-
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1174461032
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1811321797
-
- Hospitalist Physician
- Tacoma, WA
- NPI 1629403761
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1982837811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5515 E EVANS RD STE 201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782612025",
"telephone_number": "210-290-9740",
"fax_number": "210-291-9741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5515 E. EVANS ROAD",
"address_2": "SUITE 201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78261",
"telephone_number": "210-290-9740",
"fax_number": "210-291-9741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLA",
"first_name": "LYZETE",
"middle_name": "AKWI",
"credential": "DNP, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "782593",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP137487",
"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 May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.