Individual provider Active NPI

Laura Sue Waltrip, MD

  • Emergency Medicine Physician
  • Austin, TX
National Provider Identifier
1164473799
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H6687 Issued in TX
Practice address
1000 E 41St St Ste 925
Austin, TX 78751-4856
Phone
(512) 978-9940
Fax
(512) 901-9702
NPI assigned
May 16, 2006
Last updated
Jan 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H6687 TX Primary

Addresses

Primary practice location

1000 E 41St St Ste 925
Austin, TX 78751-4856

Mailing address

1000 E 41St St Ste 925
Austin, TX 78751-4856
Phone (512) 978-9940

Other identifiers 2

IdentifierTypeStateIssuer
046316801MedicaidTX
136668408MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220810003794 TX Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 1850317140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Van Meter & Associates Past Accepting new patients
Van Meter MD & Associates Past Accepting new patients
Terrebonne Parish Hospital Service District #1 Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1164473799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 41ST ST STE 925",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514856",
            "telephone_number": "512-978-9940",
            "fax_number": "512-901-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E 41ST ST STE 925",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514856",
            "telephone_number": "512-978-9940",
            "fax_number": "512-901-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTRIP",
        "first_name": "LAURA",
        "middle_name": "SUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "H6687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046316801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136668408",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.