Active NPI
Laura Delgadillo, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1083477780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1152229
- Practice address
- 1500 S Main St
Fort Worth, TX 76104-4917 - Phone
- (817) 702-3431
- NPI assigned
- Feb 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1152229 | TX | Primary |
Addresses
Primary practice location
1500 S Main St
Fort Worth, TX 76104-4917
Mailing address
1800 Lone Oak Rd Ste 10
Weatherford, TX 76086-4912
Phone (817) 672-9407
Other practice location 1
1800 Lone Oak Rd Ste 10
Weatherford, TX 76086-4912
Phone (817) 672-9407
Other practice location 2
906 W Cannon St Apt 100
Fort Worth, TX 76104-3052
Phone (817) 634-5521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 19, 2024 through Sep 19, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1152229 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vigeo Ketamine and Wellness Center, LLC | Past | Accepting new patients | |
| Serenity Psychiatry of North Texas, PLLC | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- laura.delgadillo.1@32360.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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Worth, TX
- NPI 1457136582
Single Specialty
-
- Psychiatry Physician
- Weatherford, TX
- NPI 1912612557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1083477780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 LONE OAK RD STE 10",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "760864912",
"telephone_number": "817-672-9407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044917",
"telephone_number": "817-702-3431"
}
],
"practiceLocations": [
{
"address_1": "1800 Lone Oak Rd Ste 10",
"address_purpose": "LOCATION",
"city": "Weatherford",
"state": "TX",
"postal_code": "760864912",
"country_code": "US",
"telephone_number": "817-672-9407",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "906 W Cannon St Apt 100",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761043052",
"country_code": "US",
"telephone_number": "817-634-5521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELGADILLO",
"first_name": "LAURA",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-05",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1152229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.