Individual provider Active NPI

Laura Lee Tarabocchia, NP

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1528210762
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
675016 Issued in TX
Practice address
4015 I H 45 N Ste 220
Conroe, TX 77304-5076
Phone
(936) 441-1122
Fax
(936) 788-9151
NPI assigned
Oct 21, 2008
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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 675016 TX Primary

Addresses

Primary practice location

4015 I H 45 N Ste 220
Conroe, TX 77304-5076

Mailing address

4015 I H 45 N Ste 220
Conroe, TX 77304-5076
Phone (936) 441-1122

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conroe Willis Family Medicine, PLLC Current Accepting new patients
Conroe Willis Family Medicine PLLC Current Accepting new patients

Locations

4015 Interstate 45 N
Ste 220
Conroe, TX 77304
Phone (936) 441-1122

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30698/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.tarabocchia.1@30698.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1528210762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 I H 45 N STE 220",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045076",
            "telephone_number": "936-441-1122",
            "fax_number": "936-788-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 I H 45 N STE 220",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045076",
            "telephone_number": "936-441-1122",
            "fax_number": "936-788-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARABOCCHIA",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "675016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.