Individual provider Active NPI

Laura Elisabeth Poppe, APRN, PNP-PC

  • Pediatric Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1407356462
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1012654 Issued in TX
Practice address
4002 Burke Rd Ste 100
Pasadena, TX 77504-3451
Phone
(281) 741-2982
Fax
(855) 492-3970
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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 890982 TX
Pediatric Nurse Practitioner 363LP0200X 1012654 TX Primary

Addresses

Primary practice location

4002 Burke Rd Ste 100
Pasadena, TX 77504-3451

Mailing address

4002 Burke Rd Ste 100
Pasadena, TX 77504-3451
Phone (281) 741-2982

Other practice location 1

2350 N Stemmons Fwy Ste F2400
Dallas, TX 75207-2700
Phone (469) 488-7100

Other practice location 2

1709 Anthem Dr
Royse City, TX 75189-3678
Phone (501) 757-1715

Other names 1

  • Laura Elisabeth Barber Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL EPIC
CONNECT URL EClinicalWorks Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
890982TXMDRegistered Nurse
1012654TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc PastSince Apr 1, 2021 Accepting new patients

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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1407356462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 BURKE RD STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043451",
            "telephone_number": "281-741-2982",
            "fax_number": "855-492-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 BURKE RD STE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043451",
            "telephone_number": "281-741-2982",
            "fax_number": "855-492-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 N Stemmons Fwy Ste F2400",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752072700",
            "country_code": "US",
            "telephone_number": "469-488-7100",
            "fax_number": "469-488-7101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1709 Anthem Dr",
            "address_purpose": "LOCATION",
            "city": "Royse City",
            "state": "TX",
            "postal_code": "751893678",
            "country_code": "US",
            "telephone_number": "501-757-1715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPPE",
        "first_name": "LAURA",
        "middle_name": "ELISABETH",
        "credential": "APRN, PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "890982",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1012654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "address_1": "2350 N Stemmons Fwy Ste F2400",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752072700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EClinicalWorks",
            "affiliation": "N",
            "endpointDescription": "EMR System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4002 Burke Rd Ste 100",
            "city": "Pasadena",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775043451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BARBER",
            "middle_name": "ELISABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.