Individual provider Active NPI

Laura Lea Pugh, FNP-C

  • Family Nurse Practitioner
  • Bryan, TX
National Provider Identifier
1063931715
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135228 Issued in TX
Practice address
2700 E 29TH St Ste 235
Bryan, TX 77802-2586
Phone
(979) 774-4008
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP135228 TX Primary

Addresses

Primary practice location

2700 E 29TH St Ste 235
Bryan, TX 77802-2586

Mailing address

1013 Emerald Dove Ave
College Station, TX 77845-6163
Phone (979) 224-3890

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
I20171228001376 TX Practitioner - Nurse Practitioner 7810255619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Heart CenterGroup PAC ID 6901880863, 10 clinicians

Practice addresses (Care Compare)

2700 E 29TH St
Suite 220
Bryan, TX 77802-2586
Phone (409) 774-4008

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Heart Center CurrentSince Nov 1, 2017 Accepting new patients

Locations

2700 E 29th St
Ste 220
Bryan, TX 77802
Phone (409) 774-4008

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIIEBD

Organizations & group practices 1

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 6

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1063931715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 EMERALD DOVE AVE",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456163",
            "telephone_number": "979-224-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST STE 235",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022586",
            "telephone_number": "979-774-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "LAURA",
        "middle_name": "LEA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.