Individual provider Active NPI

Laura E. Vandoren, N.P.

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1184700874
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125434 Issued in TX
Practice address
911 W 38TH St
Suite 202
Austin, TX 78705-1188
Phone
(512) 324-8670
Fax
(512) 380-7531
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP125434 TX Primary

Addresses

Primary practice location

911 W 38TH St
Suite 202
Austin, TX 78705-1188

Mailing address

911 W 38TH St
Suite 202
Austin, TX 78705-1188
Phone (512) 324-8670

Other identifiers 1

IdentifierTypeStateIssuer
200232830AMedicaidIN

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
I20140505000243 TX Practitioner - Nurse Practitioner 0941252688 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP125434TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Current Accepting new patients
Seton Family of Doctors CurrentSince Feb 29, 2016 Accepting new patients
Seton Family of Doctors CurrentSince Feb 29, 2016 Accepting new patients
Longhorn Emergency Medical Associates PA CurrentSince Feb 15, 2015 Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

4616 W Howard Ln
Ste 390
Austin, TX 78728

911 W 38th St
Ste 202
Austin, TX 78705
Phone (512) 324-8670

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

Interoperability endpoints

  • Direct secure messaging: laura.vandoren.1@12600.direct.athenahealth.com

Organizations & group practices 4

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1184700874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 W 38TH ST",
            "address_2": "SUITE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051188",
            "telephone_number": "512-324-8670",
            "fax_number": "512-380-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 W 38TH ST",
            "address_2": "SUITE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051188",
            "telephone_number": "512-324-8670",
            "fax_number": "512-380-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDOREN",
        "first_name": "LAURA",
        "middle_name": "E.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200232830A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.