LAKELINE OUTPATIENT CARE PLLC
NPI 1689427452
Nurse Practitioner - Primary Care in Cedar Park, TX
NPI Status: Active since April 10, 2024
Contact Information
1860 S LAKELINE BLVD
CEDAR PARK, TX
ZIP 78613
Phone: (512) 320-9003
- Organization
- Nurse Practitioner
- Primary Care
- CLIA Number: 45D2313256
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-27-2026
About LAKELINE OUTPATIENT CARE PLLC
This page provides the complete NPI Profile along with additional information for Lakeline Outpatient Care Pllc, a provider established in Cedar Park, Texas operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1689427452 assigned on April 2024. The practitioner's primary taxonomy code is 363LP2300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Lakeline Outpatient Care Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Nicole Campbell (Director Of Patient Access)
- NPI
- 1689427452
- Provider Name
- LAKELINE OUTPATIENT CARE PLLC
- Entity Type
- Organization
- Location Address
- 1860 S LAKELINE BLVD CEDAR PARK, TX 78613
- Location Phone
- (512) 320-9003
- Mailing Address
- 1464 E WHITESTONE BLVD STE 1101 CEDAR PARK, TX 78613
- Mailing Phone
- (512) 506-8503
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-10-2024
- Last Update Date
- 10-04-2024
- Code Navigator
A nurse practitioner (NP) like Lakeline Outpatient Care Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 3620 E Whitestone Blvd
Cedar Park, TX 78613
(512) 260-2732 - 230 Deer Ridge Dr
Round Rock, TX 78681
(512) 766-1400 - 1925 S A W Grimes Blvd
Round Rock, TX 78664
(512) 766-1400 - 5012 Ranch Road 620 N
Austin, TX 78732
(512) 766-1400 - 8703 Bandera Rd
San Antonio, TX 78250
(210) 332-5460
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Primary Care
- Taxonomy Code
- 363LP2300X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 4 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | |
| 5 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 6 | 175T00000X | Other Service Providers | Peer Specialist | |
| 7 | 207QA0401X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 8 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 9 | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 10 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 11 | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | |
| 12 | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | |
| 13 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 14 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2313256
- Facility Type
- Physician Office
- Certificate Effective Date
- October 28, 2024
- Certificate Expiration Date
- October 27, 2026
- Laboratory Director
- MARC M. DANIEL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lakeline Outpatient Care Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1689427452, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
CEDAR PARK, TX 78613
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689427452, enumerated as an "organization" on April 10, 2024.
The provider is located at 1860 S LAKELINE BLVD CEDAR PARK, TX 78613 and the phone number is (512) 320-9003.
Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.
