Individual provider Active NPI

Lauren Nikole Caldwell

  • Nurse Practitioner
  • Temple, TX
National Provider Identifier
1396314860
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1036063 Issued in TX
Practice address
9325 Tarver Dr Ste a-102
Temple, TX 76502-6162
Phone
(254) 218-3295
NPI assigned
Jun 21, 2021
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1036063 TX Primary

Addresses

Primary practice location

9325 Tarver Dr Ste a-102
Temple, TX 76502-6162

Mailing address

1200 Clear Lake Rd
Weatherford, TX 76086-5802
Phone (817) 594-9993

Other practice location 1

1200 Clear Lake Rd
Weatherford, TX 76086-5802
Phone (817) 594-9993

Other practice location 2

4500 Mercantile Plaza Dr Ste 300
Fort Worth, TX 76137-4206
Phone (866) 949-0108

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
I20211101000080 TX Practitioner - Nurse Practitioner 0941698567 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1036063TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Physician Services of Texas, P.a. Nurse Practitioner CurrentSince Jul 3, 2025 Accepting new patients
Olusegun Oseni PA CurrentSince Oct 1, 2021 Accepting new patients
Idexpertcare PA PastSince Jun 1, 2021 Accepting new patients
Chisholm Trail Orthopedics & Sports Medicine, LLLP Past Accepting new patients

Locations

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

1200 Clear Lake Rd
Weatherford, TX 76086
Phone (817) 594-9993

Interoperability endpoints

  • Direct secure messaging: ms_lcaldw26@landmarkhealth-direct.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1396314860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CLEAR LAKE RD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865802",
            "telephone_number": "817-594-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 TARVER DR STE A-102",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765026162",
            "telephone_number": "254-218-3295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Clear Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760865802",
            "country_code": "US",
            "telephone_number": "817-594-9993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 Mercantile Plaza Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761374206",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "LAUREN",
        "middle_name": "NIKOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1036063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.