Individual provider Active NPI

Laura Elaine Defreitas, APRN, FNP-C

  • Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1245965235
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1088238 Issued in TX
Practice address
105 Wildwood Dr Ste 105
Georgetown, TX 78633-1344
Phone
(512) 763-4060
Fax
(512) 863-4088
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Area Primary Care, PLLC 19 clinicians

Practice addresses (Care Compare)

105 Wildwood Dr
Suite 105
Georgetown, TX 78633-1344
Phone (512) 763-4060

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20220912000294 TX Practitioner - Nurse Practitioner 1658756721 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Area Primary Care, PLLC CurrentSince Oct 21, 2022 Accepting new patients
St Davids Heart & Vascular, PLLC PastSince Aug 14, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3201 S Austin Ave
Ste 210
Georgetown, TX 78626
Phone (512) 763-4000

105 Wildwood Dr
Ste 105
Georgetown, TX 78633
Phone (512) 763-4060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3648/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.defreitas@hca8.eclinicaldirectplus.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1088238 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

105 Wildwood Dr Ste 105
Georgetown, TX 78633-1344

Mailing address

1801 Cherry Glade TRL
Georgetown, TX 78628-6949
Phone (209) 985-5979

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2022.

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1245965235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CHERRY GLADE TRL",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786286949",
            "telephone_number": "209-985-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WILDWOOD DR STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331344",
            "telephone_number": "512-763-4060",
            "fax_number": "512-863-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFREITAS",
        "first_name": "LAURA",
        "middle_name": "ELAINE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1088238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.