Individual provider Active NPI

Lauren Carlson

  • Family Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1306586102
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1086328 Issued in TX
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

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
954523TXMDRegistered Nurse
1086328TXMDFamily 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

Verify at the official NPI Registry.