Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Daniele Bouillion, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1437617719

Lisa Daniele Bouillion, AGNP-C is a Nurse Practitioner in Austin, Texas. Qualified in 2018, 8 years ago. Practices with Westminster Manor, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2019
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Practice location Address checks out

7201 Manchaca Rd
Austin, TX 78745-5283
Phone: (512) 443-3577
Fax: (512) 445-6027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AP1407100 (TX)

Record details

NPI number1437617719
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedMarch 6, 2019
Last updated in NPPESMarch 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Westminster Manor — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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