Individual provider Active NPI

Laura Seris, APRN, CPNP-AC

  • Pediatric Nurse Practitioner
  • Austin, TX
National Provider Identifier
1073806287
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
733082 Issued in TX
Practice address
1301 Barbara Jordan Blvd
Suite 400
Austin, TX 78723-3077
Phone
(512) 708-1234
Fax
(512) 708-4567
NPI assigned
May 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 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 733082 TX Primary

Addresses

Primary practice location

1301 Barbara Jordan Blvd
Suite 400
Austin, TX 78723-3077

Mailing address

1301 Barbara Jordan Blvd
Suite 400
Austin, TX 78723-3077
Phone (512) 708-1234

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
I20111005000925 TX Practitioner - Nurse Practitioner 1456523992 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
733082TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgeons Who Only Care for Kids, PA CurrentSince Jul 25, 2011 Accepting new patients
Surgeons Who Only Care for Kids, PA CurrentSince Jul 25, 2011 Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 400
Austin, TX 78723
Phone (512) 708-4567

1301 Barbara Jordan Blvd
Austin, TX 78723
Phone (512) 324-0098

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

Interoperability endpoints

  • Direct secure messaging: laura.seris.1@8363.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8363/brand/2/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1073806287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD",
            "address_2": "SUITE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233077",
            "telephone_number": "512-708-1234",
            "fax_number": "512-708-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD",
            "address_2": "SUITE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233077",
            "telephone_number": "512-708-1234",
            "fax_number": "512-708-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIS",
        "first_name": "LAURA",
        "credential": "APRN, CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-20",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "733082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.