P Praxis·MD
● Active Type 1 · Individual

MS. Mary Michelle Lively, NP-C

Nurse Practitioner·Dallas, TX· NPI 1114261401 · Enumerated 2012 · 13 years on NPI
Lively is 1 of 1215 nurse practitioner providers in Dallas and 1 of 22123 in Texas.
NPI age
13 years
Enumerated 2012-11-27
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-09-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
13 years
↑ 6 yr above median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-11Enumerated in NPPES
2012 2026

Where they practice

Practice location
8198 Walnut Hill Ln Ste 100
Dallas, TX 752314316
📞 2143454449fax 2143451238
Mailing address
8198 Walnut Hill Ln Ste 100
Dallas, TX 752314316
📞 2143454449fax 2143451238

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #AP122051 taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 (TX) 8543NH BCBS TX
05 (TX) 338206102
05 (TX) 338206103

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Recently enumerated nearby: 29 new nurse practitioner providers have been added in Dallas in the last 180 days. See all →
Provyx · Custom healthcare lists

Need all 22123 Nurse Practitioner providers in Texas?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related