MRS. NICOLE LEANNE LAVIN DNP CPNP NPI 1790952877

NPI Information

NPI: 1790952877
Provider Name: MRS. NICOLE LEANNE LAVIN, DNP, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
4502 MEDICAL DR
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 358-4000
Get Directions

MRS. Nicole Leanne Lavin, DNP, CPNP is a pediatrics nurse practitioner in San Antonio, TX. MRS. Nicole Leanne Lavin, DNP, CPNP NPI is 1790952877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4502 MEDICAL DR
SAN ANTONIO, TX
ZIP 78229-402
Phone: (210) 358-4000
Fax: (816) 302-9939

The NPI 1790952877 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 4/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	53-78906-101	KANSAS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	RN1011816	DISTRICT OF COLUMBIA	No
3	363LP0200X	Nurse Practitioner	Pediatrics	0024172033	VIRGINIA	No
4	363LP0200X	Nurse Practitioner	Pediatrics	AP128012	TEXAS	No
5	363LP0200X	Nurse Practitioner	Pediatrics	2019020211	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	348820703	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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