Individual provider Active NPI

Lauren Lan Woolbert, MD

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1043622103
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R3010 Issued in TX
Practice address
8080 Independence Pkwy Ste 200
Plano, TX 75025-4002
Phone
(972) 596-9511
Fax
(972) 867-8163
NPI assigned
May 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10051254 TX
Family Medicine Physician 207Q00000X R3010 TX Primary

Addresses

Primary practice location

8080 Independence Pkwy Ste 200
Plano, TX 75025-4002

Mailing address

11130 Christus Hills
2ND Floor, Suite 201
San Antonio, TX 78251-3584
Phone (210) 703-9045

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171128000563 TX Practitioner - Internal Medicine 6002131190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catalyst Physician Group - NTX, PLLCGroup PAC ID 4284074758, 87 clinicians

Practice addresses (Care Compare)

8080 Independence Pkwy
Suite 200
Plano, TX 75025-4002
Phone (972) 596-9511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R3010TXMDFamily Medicine Physician
BP10051254TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Physician Group - NTX, PLLC Family Medicine CurrentSince May 1, 2024 Accepting new patients
North Texas Village Health Partners, PA Family Medicine CurrentSince Sep 2, 2017 Accepting new patients

Locations

469 Westpark Way
Euless, TX 76040
Phone (817) 283-2888

1610 Commons Cir
Northlake, TX 76226
Phone (940) 725-3400

5655 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 566-9600

5425 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 599-9600

8080 Independence Pkwy
Ste 200
Plano, TX 75025
Phone (972) 596-9511

8277 Belleview Dr
Plano, TX 75024
Phone (214) 291-5087

Interoperability endpoints

  • Direct secure messaging: lauren.woolbert.1@30426.direct.athenahealth.com
  • Direct secure messaging: lauren.woolbert.1@30724.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1043622103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 CHRISTUS HILLS",
            "address_2": "2ND FLOOR, SUITE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513584",
            "telephone_number": "210-703-9045",
            "fax_number": "210-703-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 INDEPENDENCE PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254002",
            "telephone_number": "972-596-9511",
            "fax_number": "972-867-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLBERT",
        "first_name": "LAUREN",
        "middle_name": "LAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-23",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10051254",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R3010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.