Individual provider Active NPI

Lauren Hudson Manley, FNP-C

  • Family Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1215348354
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125464 Issued in TX
Practice address
1105 W Frank Ave Ste 200
Lufkin, TX 75904-3395
Phone
(936) 631-6771
NPI assigned
May 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 768602 TX
Family Nurse Practitioner 363LF0000X AP125464 TX Primary

Addresses

Primary practice location

1105 W Frank Ave Ste 200
Lufkin, TX 75904-3395

Mailing address

9055 Katy Fwy
Suite 200
Houston, TX 77024-1624
Phone (713) 461-2915

Other names 1

  • Miss Lauren Ashley Hudson Former name

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
I20140701001960 TX Practitioner - Nurse Practitioner 7315162591 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
768602TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Texas Billing, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Magella Medical Associates Billing, Inc. Past Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Past Accepting new patients

Locations

508 Medical Center Blvd
Ste 320
Conroe, TX 77304
Phone (936) 523-5790

1325 Pennsylvania Ave
Ste 600
Ft Worth, TX 76104
Phone (817) 878-5298

1901 N State Highway 360
Ste 102
Grand Prairie, TX 75050
Phone (972) 647-0994

5757 Woodway Dr
Ste 275
Houston, TX 77057
Phone (713) 791-9100

17200 State Highway 249
Ste 220
Houston, TX 77064
Phone (713) 759-0932

2100 Travis St
Ste 1250
Houston, TX 77002
Phone (346) 348-1980

7400 Fannin St
Ste 720
Houston, TX 77054
Phone (281) 601-4066

23530 Kingsland Blvd
Ste 204
Katy, TX 77494
Phone (281) 419-4600

10223 Broadway St
Ste E
Pearland, TX 77584
Phone (713) 340-2848

9180 Pinecroft Dr
Ste 300
Shenandoah, TX 77380
Phone (281) 419-4600

12603 Southwest Fwy
Ste 315
Stafford, TX 77477
Phone (346) 245-5186

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: lauren.manleyfnp.p32@direct.mednax.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1215348354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9055 KATY FWY",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241624",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W FRANK AVE STE 200",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043395",
            "telephone_number": "936-631-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "LAUREN",
        "middle_name": "HUDSON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "768602",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HUDSON",
            "middle_name": "ASHLEY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.