Individual provider Active NPI

Lahoma Privitera, MSN, AGNP

  • Primary Care Nurse Practitioner
  • Plano, TX
National Provider Identifier
1992346951
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP143228 Issued in TX
Practice address
4601 Old Shepard PL., Building One, Suite 101
Plano, TX 75093-7509
Phone
(214) 919-2360
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP143228 TX Primary

Addresses

Primary practice location

4601 Old Shepard PL., Building One, Suite 101
Plano, TX 75093-7509

Mailing address

4601 Old Shepard PL Ste 101
Plano, TX 75093-5251
Phone (214) 919-2360

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Plano
Other URL Plano

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
I20210416000089 TX Practitioner - Nurse Practitioner 5496163222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

9101 N Central Expressway
300C Baylor Scott and White Cardiology Consul
Dallas, TX 75231
Phone (469) 800-7500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP143228TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Mar 8, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Mar 8, 2021 Accepting new patients
Healthtexas Provider Network Current Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

9101 N Central Expy
Ste 300C
Dallas, TX 75231
Phone (469) 800-7100

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

5220 W University Dr
Ste 220
McKinney, TX 75071
Phone (469) 800-5220

4716 Alliance Blvd
Ste 210
Plano, TX 75093
Phone (469) 800-4770

4601 Old Shepard Pl
Ste 305
Plano, TX 75093

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: lprivitera791503@direct.sw.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1992346951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL STE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935251",
            "telephone_number": "214-919-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 OLD SHEPARD PL., BUILDING ONE, SUITE 101",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937509",
            "telephone_number": "214-919-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVITERA",
        "first_name": "LAHOMA",
        "credential": "MSN, AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP143228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Plano",
            "affiliation": "N",
            "address_1": "4601 Old Shepard Pl., Building One, Suite 101",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750937509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Plano",
            "affiliation": "N",
            "address_1": "4601 Old Shepard Pl., Building One, Suite 101",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750937509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.