Individual provider Active NPI

Laura L Elizondo, APRN

  • Acute Care Nurse Practitioner
  • Kyle, TX
National Provider Identifier
1447056858
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1191554 Issued in TX
Practice address
1300 Dacy LN Ste 270
Kyle, TX 78640-4197
Phone
(737) 637-2173
Fax
(737) 378-2177
NPI assigned
Feb 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1191554 TX Primary

Addresses

Primary practice location

1300 Dacy LN Ste 270
Kyle, TX 78640-4197

Mailing address

131 Osceola Dr
Kyle, TX 78640-3052
Phone (817) 905-6966

Other practice location 1

1180 Seton Pkwy Ste 310
Kyle, TX 78640-6179
Phone (877) 551-6650

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
I20250603000294 TX Practitioner - Nurse Practitioner 7416466313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immersiv Health of Texas, PLLC 3 clinicians

Practice addresses (Care Compare)

1180 Seton Pkwy
Suite 310
Kyle, TX 78640-6179
Phone (877) 551-6650

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kirk Mitchell MD PA CurrentSince Apr 1, 2025 Accepting new patients
Immersiv Health of Texas, PLLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

382 NE 191st St
Ste 93920
Miami, FL 33179

1810 8th Ave
Ste A101
Fort Worth, TX 76110
Phone (877) 969-6863

1180 Seton Pkwy
Ste 310
Kyle, TX 78640
Phone (877) 551-6650

354 Green Hollow Dr
Ste 120
Temple, TX 76502
Phone (877) 551-6650

1802 S 31st St
Temple, TX 76504
Phone (254) 778-4231

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": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1447056858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 OSCEOLA DR",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786403052",
            "telephone_number": "817-905-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 DACY LN STE 270",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786404197",
            "telephone_number": "737-637-2173",
            "fax_number": "737-378-2177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Seton Pkwy Ste 310",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786406179",
            "country_code": "US",
            "telephone_number": "877-551-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELIZONDO",
        "first_name": "LAURA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1191554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.