Individual provider Active NPI

Lauren Holian, NP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1396358362
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1010290 Issued in TX
Practice address
851 W Terrell Ave
Fort Worth, TX 76104-3161
Phone
(817) 332-8346
Fax
(817) 332-1723
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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 1010290 TX Primary

Addresses

Primary practice location

851 W Terrell Ave
Fort Worth, TX 76104-3161

Mailing address

PO Box 33434
Fort Worth, TX 76162-3434
Phone (817) 332-8346

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
I20201016001429 TX Practitioner - Nurse Practitioner 3870913692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular and Vein Center, PAGroup PAC ID 2668531401, 3 clinicians

Practice addresses (Care Compare)

851 W Terrell Ave
Fort Worth, TX 76104-3161
Phone 8173328346111

Merit-based Incentive Payment System (MIPS)

Final score
99.6 of 100Reported as group
Quality
98.3
Improvement activities
40
Cost
80.04

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular and Vein Center PA CurrentSince Sep 14, 2020 Accepting new patients

Locations

8704 Medical City Way
Fort Worth, TX 76177
Phone (817) 332-8346

851 W Terrell Ave
Ft Worth, TX 76104
Phone (817) 332-8346

150 River North Blvd
Stephenville, TX 76401
Phone (254) 965-9729

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJGAA/Endpoint/IHJGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJGAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1396358362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33434",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761623434",
            "telephone_number": "817-332-8346",
            "fax_number": "817-332-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 W TERRELL AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043161",
            "telephone_number": "817-332-8346",
            "fax_number": "817-332-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIAN",
        "first_name": "LAUREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1010290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.