Individual provider Active NPI

Lara K Rowe, PNP

  • Pediatric Nurse Practitioner
  • Mount Pleasant, TX
National Provider Identifier
1548257579
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
662253 Issued in TX
Practice address
2001 N Jefferson Ave Ste 300
Mount Pleasant, TX 75455-2375
Phone
(903) 572-9823
Fax
(903) 572-4812
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 662253 TX Primary

Addresses

Primary practice location

2001 N Jefferson Ave Ste 300
Mount Pleasant, TX 75455-2375

Mailing address

2001 N Jefferson Ave Ste 300
Mount Pleasant, TX 75455-2375
Phone (903) 572-9823

Other identifiers 1

IdentifierTypeStateIssuer
161049506MedicaidTX

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
I20180710001783 TX Practitioner - Nurse Practitioner 9335495159 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
662253TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Mar 13, 2018 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 13, 2018 Accepting new patients
Starks Medical Past Accepting new patients

Locations

340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105

2701 US Highway 271 N
Ste 300
Pittsburg, TX 75686

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

502 Quitman St
Pittsburg, TX 75686
Phone (903) 856-4200

Organizations & group practices 3

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1548257579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE STE 300",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552375",
            "telephone_number": "903-572-9823",
            "fax_number": "903-572-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE STE 300",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552375",
            "telephone_number": "903-572-9823",
            "fax_number": "903-572-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "LARA",
        "middle_name": "K",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "662253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161049506",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.