Active NPI
Lauren Carlson
- Family Nurse Practitioner
- Shenandoah, TX
National Provider Identifier
1306586102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1086328
- Practice address
- 121 Vision Park Blvd Ste 200
Shenandoah, TX 77384-3027 - Phone
- (281) 725-6767
- NPI assigned
- Mar 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 954523 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1086328 | TX | Primary |
Addresses
Primary practice location
121 Vision Park Blvd Ste 200
Shenandoah, TX 77384-3027
Mailing address
27001 Strake LN
Magnolia, TX 77354-6786
Phone (719) 209-4923
Other practice location 1
14502 Spring Cypress Rd Ste 500
Cypress, TX 77429-7578
Phone (281) 246-1571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 954523 | TX | MD | Registered Nurse |
| 1086328 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1306586102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27001 STRAKE LN",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773546786",
"telephone_number": "719-209-4923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 VISION PARK BLVD STE 200",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843027",
"telephone_number": "281-725-6767"
}
],
"practiceLocations": [
{
"address_1": "14502 Spring Cypress Rd Ste 500",
"address_purpose": "LOCATION",
"city": "Cypress",
"state": "TX",
"postal_code": "774297578",
"country_code": "US",
"telephone_number": "281-246-1571",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLSON",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-30",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "954523",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1086328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.