Individual provider Active NPI

Lyzete Akwi Talla, DNP, FNP-C

  • Primary Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1982837811
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP137487 Issued in TX
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

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181016003933 TX Practitioner - Nurse Practitioner 2769734938 Reassigns benefits to 3 organizations

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
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians

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

LicenseStateTypeSpecialty
782593TXMDRegistered Nurse
AP137487TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians of Texas I, Inc CurrentSince Nov 1, 2018 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince May 12, 2025 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 CurrentSince Nov 1, 2018 Accepting new patients
Amour Home Health LLC CurrentSince May 3, 2016 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.

FacilityTypeRoleSince
Amour Home Health, LLCSan Antonio, TX, CCN 748110 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.

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.

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

Verify at the official NPI Registry.