Laura Childress, RN, MSN, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

AP136860 Issued in TX

Practice address

705 E Marshall Ave Ste 3000
Longview, TX 75601-5661

Phone

(903) 315-2700

NPI assigned

Mar 7, 2018

Last updated

Mar 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFADCA
• Direct secure messaging: laura.childress@wchcl.eclinicaldirectplus.com
• Direct secure messaging: laurachildress@wp.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Longview Wellness Center, Inc

  dba Wellness Pointe

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1942269493
  Medicare reassignment NPD
• Longview Wellness Center Inc

  dba Wellness Pointe

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1255137659
  NPD
• Longview Wellness Center Inc

  dba Wellness Pointe

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1447910542
  NPD
• Special Health Resources for Texas, Incorporated

  dba Longview Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1043209919
  NPD (past)
• Special Health Resources for Texas, Incorporated

  dba Midtown Clinic of Tyler

  • Federally Qualified Health Center (FQHC)
  • Tyler, TX
  • NPI 1609298132
  NPD (past)
• Special Health Resources for Texas, Incorporated

  dba Woman and Child Health Center

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1922556067
  NPD (past)

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1104328947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE STE 3000",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015661",
            "telephone_number": "903-315-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE STE 3000",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015661",
            "telephone_number": "903-315-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDRESS",
        "first_name": "LAURA",
        "credential": "RN, MSN, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP136860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip John Chifulio, LCDC
• Anthonia Chigbo
• Childress Vision Clinic
• Alicia Childress, LCDC
• Carl W Childress, O.D.
• Madhu Chiluveri, MD
• Courtney Brooks Chism, DO
• Jennifer L. Chow, DNP, APRN-CNP
• Thomas Chow, M.D.
• Beverly Blaine Christiansen, LMFT, LPC

• Women's Health Nurse Practitioner in Longview, TX
• Providers in Longview, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.