Individual provider Active NPI

Laura Segura Boza, FNP-C

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1336923614
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1131553 Issued in TX
Practice address
2300 14TH St Ste 145
Plano, TX 75074-6445
Phone
(469) 277-8858
NPI assigned
Aug 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1131553 TX Primary

Addresses

Primary practice location

2300 14TH St Ste 145
Plano, TX 75074-6445

Mailing address

2300 14TH St Ste 145
Plano, TX 75074-6445
Phone (832) 245-7086

Other practice location 1

9429 El Centro Dr # 220
Dallas, TX 75220-4984
Phone (469) 917-8363

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
I20250108002022 TX Practitioner - Nurse Practitioner 3678008059

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caremed NRH LLC CurrentSince Jan 15, 2025 Accepting new patients
Love Field Clinic LLC Family CurrentSince Jan 1, 2025 Accepting new patients

Locations

9429 El Centro Dr
Ste 100
Dallas, TX 75220
Phone (214) 351-0010

6242 Rufe Snow Dr
Ste 220
North Richland Hills, TX 76148
Phone (682) 257-3006

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.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1336923614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 14TH ST STE 145",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746445",
            "telephone_number": "832-245-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 14TH ST STE 145",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746445",
            "telephone_number": "469-277-8858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9429 El Centro Dr # 220",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752204984",
            "country_code": "US",
            "telephone_number": "469-917-8363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGURA BOZA",
        "first_name": "LAURA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1131553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.