Individual provider Active NPI

Laura Segovia, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1215469994
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133631 Issued in TX
Practice address
5277 Old Brownsville Rd Ste 201
Corpus Christi, TX 78405-3930
Phone
(361) 452-5923
Fax
(361) 452-5748
NPI assigned
Mar 31, 2017
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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 AP133631 TX Primary

Addresses

Primary practice location

5277 Old Brownsville Rd Ste 201
Corpus Christi, TX 78405-3930

Mailing address

5277 Old Brownsville Rd Ste 201
Corpus Christi, TX 78405-3930
Phone (361) 452-5923

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
I20180917000931 TX Practitioner - Nurse Practitioner 4284985128 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133631TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nueces Emergency Services, PA CurrentSince Feb 28, 2022 Accepting new patients
CC Doctors Center Portland, PLLC CurrentSince May 1, 2022 Accepting new patients

Locations

4637 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-6824

125 Northshore Blvd
Portland, TX 78374
Phone (361) 480-0334

Organizations & group practices 2

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1215469994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5277 OLD BROWNSVILLE RD STE 201",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784053930",
            "telephone_number": "361-452-5923",
            "fax_number": "361-452-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 OLD BROWNSVILLE RD STE 201",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784053930",
            "telephone_number": "361-452-5923",
            "fax_number": "361-452-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGOVIA",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.