P Praxis·MD
● Active Type 1 · Individual

Michelle Lee Blackburn, FNP

Nurse Practitioner·Lakeway, TX· NPI 1265172779 · Enumerated 2022 · 4 years on NPI
Blackburn is 1 of 20 nurse practitioner providers in Lakeway and 1 of 22123 in Texas.
NPI age
4 years
Enumerated 2022-03-31
Primary specialty
Nurse Practitioner
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-01-16
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
4 years
↓ 3 yr below median (7 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-03Enumerated in NPPES
2022 2026

Where they practice

Practice location
101 Medical Pkwy Ste 210
Lakeway, TX 787385647
📞 5128141984fax 8552709668
Mailing address
5625 Eiger Rd Ste 200
Austin, TX 787358982
📞 5128927076fax 8552709668

Additional practice locations

1 secondary location on file with NPPES.

Location 2
12600 Hill Country Blvd Bldg R-103
Austin, TX 787386891
📞 5123588180fax 8552709668

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #1029771 taxonomy 363LF0000X

Practice context

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

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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.

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