Individual provider · Type 1 NPI

Sativa Lackey, FNP-C

Family Nurse Practitioner · Austin, TX

NPI number 1639795131 Active

Practice location

4303 Victory Dr
Austin, TX 78704-7507

Fax (512) 462-2898

Mailing address

113 S Thomas Cv
Burnet, TX 78611-2086

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP143975 (TX)

Family Nurse Practitioner: Definition to come...

26 other providers at this address

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About NPI 1639795131

Sativa Lackey, FNP-C's National Provider Identifier is 1639795131, issued on Jun 19, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Austin, TX. The record was last updated on Mar 11, 2026.