Individual provider Active NPI

Lauren Wortham, NP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1235981606
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1180762 Issued in TX
Practice address
2113 Teakwood Dr
Austin, TX 78757-7750
Phone
(512) 825-7235
NPI assigned
Apr 1, 2024
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 1180762 TX Primary

Addresses

Primary practice location

2113 Teakwood Dr
Austin, TX 78757-7750

Mailing address

2113 Teakwood Dr
Austin, TX 78757-7750
Phone (512) 825-7235

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
I20250902001351 TX Practitioner - Nurse Practitioner 8426559311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical School at Houston, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7940 Shoal Creek Blvd
Suite 100
Austin, TX 78757-8087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Subspecialists for Children PLLC CurrentSince May 15, 2025 Accepting new patients
Magella Medical Associates Billing, Inc. PastSince May 15, 2025 Accepting new patients

Locations

5301 Davis Ln
Bldg A200
Austin, TX 78749
Phone (512) 494-4000

7940 Shoal Creek Blvd
Ste 100
Austin, TX 78757
Phone (512) 494-4000

1301 Medical Pkwy
Ste 300
Cedar Park, TX 78613
Phone (512) 494-4000

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": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1235981606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 TEAKWOOD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577750",
            "telephone_number": "512-825-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 TEAKWOOD DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577750",
            "telephone_number": "512-825-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHAM",
        "first_name": "LAUREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1180762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.