Laura Helen Theis, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1087030 Issued in TX

Practice address

164 Belterra Village Way Ste Y200
Austin, TX 78737-4804

Phone

(512) 866-3016

NPI assigned

Jul 23, 2022

Last updated

Jul 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1658534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658534400000",
    "number": "1023743903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MANCHESTER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374540",
            "telephone_number": "512-589-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 BELTERRA VILLAGE WAY STE Y200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374804",
            "telephone_number": "512-866-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEIS",
        "first_name": "LAURA",
        "middle_name": "HELEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-23",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1087030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Wright House Wellness Center (Ashwell Health and Wellness)
• The Young Men's Christian Association of Austin
• The Zilker Center LLC (The Zilker Center)
• The Zilker Center LLC
• Kristen Theis, LPC
• Thekey of Texas, LLC
• Taylor Nicole Theobald, MAT, LAT, ATC
• Corina Theodosis
• Theophilus S Painter Jr MD PA
• April L Thepsoumane, PA-C

• Family Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.