Active NPI
Lauren D'Angelo Weaver, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Shenandoah, TX
National Provider Identifier
1356603146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- S3611
- Practice address
- 920 Medical Plaza Dr Ste 120
Shenandoah, TX 77380-3275 - Phone
- (281) 298-1144
- Fax
- (281) 298-1133
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MT202213 | PA | |
| Epilepsy Physician | 2084E0001X | S3611 | TX | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | S3611 | TX | Primary |
Addresses
Primary practice location
920 Medical Plaza Dr Ste 120
Shenandoah, TX 77380-3275
Mailing address
14960 Park Row Dr
Houston, TX 77084-5165
Phone (281) 298-1144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410428301 | Medicaid | TX |
Other names 1
- Lauren D'Angelo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT202213 | PA | MD | Pediatrics Physician |
| S3611 | TX | MD | Epilepsy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaun S. Varghese, M.D., PLLC | Neurology With Special Qualifications in Child Neurology | Past | Accepting new patients |
Interoperability endpoints
- lauren.weaver@think.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
dba The Houston Institute of Neurology for Kids
- Neurology with Special Qualifications in Child Neurology Physician
- Shenandoah, TX
- NPI 1497168546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1356603146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14960 PARK ROW DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770845165",
"telephone_number": "281-298-1144",
"fax_number": "281-298-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MEDICAL PLAZA DR STE 120",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773803275",
"telephone_number": "281-298-1144",
"fax_number": "281-298-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "LAUREN",
"middle_name": "D'ANGELO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-08",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MT202213",
"primary": false
},
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "TX",
"license": "S3611",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "TX",
"license": "S3611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410428301",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "D'ANGELO",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.