Individual provider Active NPI

Valerie Maclaurin, APRN, CPNP-AC/PC

  • Pediatric Nurse Practitioner
  • Austin, TX
National Provider Identifier
1003054735
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
666063 Issued in TX
Practice address
5339 N Ih 35 Ste 100
Austin, TX 78723-2558
Phone
(512) 628-1898
Fax
(512) 600-1849
NPI assigned
Feb 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 666063 TX Primary

Addresses

Primary practice location

5339 N Ih 35 Ste 100
Austin, TX 78723-2558

Mailing address

1301 Barbara Jordan Blvd Ste 200
Austin, TX 78723-3078
Phone (512) 628-1820

Other identifiers 1

IdentifierTypeStateIssuer
203314403MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address valerie.maclaurin.1@8363.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090429000069 TX Practitioner - Nurse Practitioner 0547318610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dell Childrens Medical GroupGroup PAC ID 8224092978, 117 clinicians

Practice addresses (Care Compare)

1301 Barbara Jordan Blvd
Austin, TX 78723-3078

7506 Pineleaf PL
Austin, TX 78757-1763
Phone (512) 628-1898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
666063TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children'S Medical Group CurrentSince Dec 25, 2011 Accepting new patients
Dell Children'S Medical Group Pediatrics CurrentSince Dec 25, 2011 Accepting new patients
Dell Children'S Medical Group Current Accepting new patients
Pediatric Surgical Subspecialists Past Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

1301 Barbara Jordan Blvd
Ste 307
Austin, TX 78723
Phone (512) 324-0907

7020 Easy Wind Dr
Ste 130
Austin, TX 78752
Phone (512) 377-2323

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

Interoperability endpoints

  • Direct secure messaging: valerie.maclaurin.1@8363.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1003054735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233078",
            "telephone_number": "512-628-1820",
            "fax_number": "512-628-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5339 N IH 35 STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232558",
            "telephone_number": "512-628-1898",
            "fax_number": "512-600-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLAURIN",
        "first_name": "VALERIE",
        "credential": "APRN, CPNP-AC/PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "666063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203314403",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "valerie.maclaurin.1@8363.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "5339 N Ih 35 Ste 100",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787232558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.