Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sativa Lackey, FNP-C

Individual provider Family Nurse Practitioner · NPI 1639795131

Sativa Lackey, FNP-C is a Nurse Practitioner in Austin, Texas. Qualified in 2019, 7 years ago. Practices with Trumen Physician and Associates Post Acute PLLC, a 121-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4303 Victory Dr
Austin, TX 78704-7507
Phone: (512) 462-3627
Fax: (512) 462-2898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 College St, Round Rock, TX 78664-4415 — (512) 614-2851

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP143975 (TX)

Record details

NPI number1639795131
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJune 19, 2020
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Trumen Physician And Associates Post Acute Pllc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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