Active NPI
Laura Anders, PA-C
- Physician Assistant
- Dallas, TX
National Provider Identifier
1134637846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110006029
- Practice address
- 4055 Valley View LN Ste 700
Dallas, TX 75244-5045 - Phone
- (855) 984-5121
- NPI assigned
- Jan 16, 2018
- Last updated
- Jan 15, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110006029 | VA | Primary |
| Physician Assistant | 363A00000X | C0007492 | MD |
Addresses
Primary practice location
4055 Valley View LN Ste 700
Dallas, TX 75244-5045
Mailing address
4055 Valley View LN Ste 700
Dallas, TX 75244-5045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, WV, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2346 | WV | MD | Orthopedic Physical Therapist |
| 028842 | NY | MD | Speech-Language Pathologist |
| C0007492 | MD | MD | Physician Assistant |
| 0110006029 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Blossom Family Practice PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
dba Valley Health Urgent Care
- Urgent Care Clinic/Center
- Winchester, VA
- NPI 1235178591
-
- Family Medicine Physician
- Winchester, VA
- NPI 1043216708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1134637846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 VALLEY VIEW LN STE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 VALLEY VIEW LN STE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445045",
"telephone_number": "855-984-5121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERS",
"first_name": "LAURA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-16",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110006029",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0007492",
"primary": false
}
],
"identifiers": [],
"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 Jan 15, 2026; 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.