Lara Nguyen, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1032061 Issued in TX

Practice address

1001 Little Oak Way
Round Rock, TX 78681-5517

Phone

(404) 786-8424

NPI assigned

Mar 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lara Mattie Church Former name

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, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11316/brand/5/csg/1/fhir/r4
• Direct secure messaging: lara.nguyen.1@8363.direct.athenahealth.com

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.

• Dell Children's Medical Group

  • Pediatrics Physician
  • Austin, TX
  • NPI 1326072943
  Medicare reassignment NPD
• Dell Children's Medical Group

  dba Dell Children's Medical Group Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Austin, TX
  • NPI 1124748249
  NPD
• Dell Children's Medical Group

  • Pediatrics Physician
  • Round Rock, TX
  • NPI 1790103869
  NPD
• Austin Health Partners PLLC

  • Pediatrics Physician
  • Cedar Park, TX
  • NPI 1144724261
  NPD (past)

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1497458632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 LITTLE OAK WAY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815517",
            "telephone_number": "512-255-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LITTLE OAK WAY",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815517",
            "telephone_number": "404-786-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LARA",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1032061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARA",
            "last_name": "CHURCH",
            "middle_name": "MATTIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaclyn Ngoc Minh Nguyen, MD
• Jillian Kieu Diem Nguyen
• Joanne Linh Nguyen, PA
• Joe T Nguyen, MD
• Josephine Nguyen, FNP-C
• Laurie Nguyen, LPC / LCDC
• Lilian Nguyen, MS, LPC
• Patrick Nguyen, MD
• Tam M Nguyen, DDS
• Thu Thi Nguyen, MD

• Pediatric Nurse Practitioner in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.