Active NPI
Laura Hines Holub, CRNA
- Certified Registered Nurse Anesthetist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP101995
- Practice address
- 12222 Merit Dr Ste 600
Dallas, TX 75251-3294 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Dec 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 228669 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | AP101995 | TX | Primary |
Addresses
Primary practice location
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999
Other practice location 1
6606 Lbj Fwy
Ste 200
Dallas, TX 75240-6533
Phone (972) 715-5000
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154621003 | Medicaid | TX | |
| 154621004 | Medicaid | TX | |
| 154621001 | Medicaid | TX | |
| 154621002 | Medicaid | TX | |
| 154621005 | Medicaid | TX | |
| 82938U | Other | TX | BCBS |
| 154621006 | Medicaid | TX | |
| 430079633 | Other | TX | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38675 | TX | MD | Intellectual & Developmental Disabilities Psychologist |
| 228669 | TX | MD | Certified Registered Nurse Anesthetist |
| AP101995 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NTX Anesthesiology Consultants PLLC | Current | Accepting new patients | |
| Cowtown Anesthesia Serivces, L.L.P. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Sundance Anesthesia PA | Past | Accepting new patients | |
| Apex Anesthesia Consultants, PLLC | Past | Accepting new patients | |
| Renwa Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Waxahachie, TX
- NPI 1912410739
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1124201827
-
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
- NPI 1942503818
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
- NPI 1215028808
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1760428361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1073590477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12222 MERIT DR STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513294",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [
{
"address_1": "6606 Lbj Fwy",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752406533",
"country_code": "US",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLUB",
"first_name": "LAURA",
"middle_name": "HINES",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "228669",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP101995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154621003",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154621004",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154621001",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154621002",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154621005",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "82938U",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154621006",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "430079633",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.