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LAKELINE OUTPATIENT CARE PLLC
NPI 1689427452
Nurse Practitioner - Primary Care in Cedar Park, TX

Active since April 10, 2024CLIA 45D2313256 · Waiver
1860 S LAKELINE BLVD, CEDAR PARK, TX 78613(512) 320-9003 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2024, Sep 8, 2024, Apr 12, 2024 (3 updates tracked since 2024).

About Lakeline Outpatient Care Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKELINE OUTPATIENT CARE PLLC (NPI 1689427452) is a healthcare organization registered as a primary care in Cedar Park, Texas and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through October 27, 2026, maintains 5 additional practice locations, and lists Nicole Campbell, Director Of Patient Access, as its authorized official.

NPPES Registry Identity

NPI1689427452
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameLAKELINE OUTPATIENT CARE PLLC
Location Address1860 S LAKELINE BLVDCedar Park, TX 78613-3872
Mailing Address1464 E Whitestone Blvd Ste 1101Cedar Park, TX 78613-9070 · (512) 506-8503
Phone(512) 320-9003
Organization SubpartNo
Authorized OfficialNicole CampbellDirector Of Patient Access · (512) 948-1752
Enumeration DateApril 10, 2024
Last NPPES UpdateOctober 4, 20243 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1689427452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
1860 S LAKELINE BLVD, Cedar Park, TX 78613
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Secondary Practice Locations 5

Location 13620 E Whitestone BlvdCedar Park, TX 78613-7441 · Phone (512) 260-2732
Location 2230 Deer Ridge DrRound Rock, TX 78681-5515 · Phone (512) 766-1400
Location 31925 S A W Grimes BlvdRound Rock, TX 78664-7459 · Phone (512) 766-1400
Location 45012 Ranch Road 620 NAustin, TX 78732-1846 · Phone (512) 766-1400
Location 58703 Bandera RdSan Antonio, TX 78250-2504 · Phone (210) 332-5460

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2313256

Lakeline Outpatient Care, PLLC · Cedar Park, TX
Active · expires Oct 27, 2026
CLIA Number45D2313256
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorMarc M. Daniel
Laboratory Phone(512) 971-5928
Laboratory LocationLakeline Outpatient Care, PLLC1860 S Lakeline Blvd., Cedar Park, TX 78613
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAVANNAH MATLOCK LMSW
Case Manager/Care Coordinator
1860 S LAKELINE BLVD
CEDAR PARK, TX 78613
Williamson County (210) 831-4822
ROUND ROCK OUTPATIENT CARE PLLC
Nurse Practitioner (Primary Care)
1860 S LAKELINE BLVD
CEDAR PARK, TX 78613
Williamson County (512) 506-8503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeline Outpatient Care PLLC's NPI number?

The NPI number for Lakeline Outpatient Care PLLC is 1689427452. It was assigned to this organization in the NPPES registry on April 10, 2024.

Where is Lakeline Outpatient Care PLLC located?

Lakeline Outpatient Care PLLC is located at 1860 S Lakeline Blvd, Cedar Park, TX 78613. The listed phone number is (512) 320-9003.

What is Lakeline Outpatient Care PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Lakeline Outpatient Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2313256) is associated with this NPI, valid through October 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakeline Outpatient Care PLLC was last updated on October 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.