Individual provider Active NPI

Laura N Pedersen Foreman, GNP

  • Gerontology Nurse Practitioner
  • Texas City, TX
National Provider Identifier
1265744361
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP118826 Issued in TX
Practice address
3208 13TH Ave. N
Texas City, TX 77590
Phone
(281) 413-9676
Fax
(832) 948-1328
NPI assigned
Jul 6, 2010
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP118826 TX Primary

Addresses

Primary practice location

3208 13TH Ave. N
Texas City, TX 77590

Mailing address

3208 13TH Ave. N
Texas City, TX 77590
Phone (281) 413-9676

Other names 1

  • Laura N Pedersen 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
I20100727000241 TX Practitioner - Nurse Practitioner 0941333082 Reassigns benefits to 2 organizations
Practice locations: Webster, TX; Pearland, TX; League City, TX; Houston, TX; Friendswood, TX; Pasadena, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collaborative Geriatrics IncGroup PAC ID 5193827046, 45 clinicians

Practice addresses (Care Compare)

24285 Katy Fwy
Suite 300
Katy, TX 77494-1327
Phone (346) 387-7171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP118826TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pallavi Kakulavar MD PA CurrentSince Nov 1, 2024 Accepting new patients
Collaborative Geriatrics Inc Gerontology CurrentSince Sep 1, 2017 Accepting new patients
LNP Geriatrics Inc Gerontology CurrentSince Oct 10, 2023 Accepting new patients
Array of Hope LLC PastSince Mar 16, 2025 Accepting new patients
Bay Area Internal Medicine Care PLLC PastSince Aug 7, 2022 Accepting new patients

Locations

24275 Katy Fwy
Ste 400
Katy, TX 77494
Phone (281) 706-8766

24285 Katy Fwy
Ste 300
Katy, TX 77494
Phone (346) 387-7171

2750 Miller Ranch Rd
Pearland, TX 77584
Phone (713) 770-5300

3272 Broadway St
Pearland, TX 77581
Phone (281) 413-9676

3272 Broadway St
Ste 19
Pearland, TX 77581

3400 E Walnut St
Pearland, TX 77581
Phone (281) 485-2776

8325 Broadway St
Ste 20292
Pearland, TX 77581
Phone (281) 536-7698

3208 13TH Ave N
Texas City, TX 77590
Phone (281) 413-9676

17231 Mill Forest Rd
Webster, TX 77598
Phone (281) 488-5224

1405 Valhalla Dr
Wharton, TX 77488
Phone (713) 723-9068

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABDBED/Endpoint/ABDBED

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1265744361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 13TH AVE. N",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "77590",
            "telephone_number": "281-413-9676",
            "fax_number": "832-948-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 13TH AVE. N",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "77590",
            "telephone_number": "281-413-9676",
            "fax_number": "832-948-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN FOREMAN",
        "first_name": "LAURA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP118826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "PEDERSEN",
            "middle_name": "N",
            "credential": "GNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.