Laurie A Incledon, WHNP, CNM

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

517125 Issued in TX

Practice address

12881 N Ih 35
Live Oak, TX 78233-2966

Phone

(210) 742-6555

NPI assigned

Aug 1, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hillside Primary Care PLLCGroup PAC ID 0648530386, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hillside Primary Care PLLC

  • Internal Medicine Physician
  • Live Oak, TX
  • NPI 1205349040

  Women's Health

  Medicare reassignment Care Compare group NPD
• Obhg Texas Holdings, P.a.

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1083917769
  Medicare reassignment NPD
• Complete Care Partners LLC

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1114437563
  NPD (past)

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1467708933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12881 N IH 35",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332966",
            "telephone_number": "210-742-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12881 N IH 35",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782332966",
            "telephone_number": "210-742-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCLEDON",
        "first_name": "LAURIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "WHNP, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "AP107830",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "517125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "324025102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324025101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kineta Hudson
• Cierra Hurd
• Huyen Nguyen MD PA (Alamo Wellness Alliance)
• HVL Dentistry PLLC
• In Focus Eyecare
• Inner Harbor Emergency Physicians, PLLC
• Nazish Ismail, M.D.
• J. Moss Foundation (Skinny Gene Project)
• Layan Jaber, PA-C
• Zain Jaber, PHARMD

• Women's Health Nurse Practitioner in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.