Individual provider Active NPI

Lanna B McClain, MD

  • Pediatrics Physician
  • Burleson, TX
National Provider Identifier
1629005590
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J6574 Issued in TX
Practice address
225 SE John Jones Dr
Burleson, TX 76028-8341
Phone
(817) 447-0445
Fax
(817) 447-2273
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J6574 TX Primary

Addresses

Primary practice location

225 SE John Jones Dr
Burleson, TX 76028-8341

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-1855

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lmcclain15429@CookChildrens.direct-ci.com
Direct Messaging Address lmcclain15429@CookChildrens.direct-ci.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100128000646 TX Practitioner - Pediatric Medicine 7911049952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children'S Physician Network Pediatrics CurrentSince Jan 1, 2010 Accepting new patients
Cook Children'S Physician Network Pediatrics CurrentSince Jan 1, 2010 Accepting new patients
Cook Children'S Medical Center PastSince May 9, 2021 Accepting new patients

Locations

225 SE John Jones Dr
Ste A
Burleson, TX 76028
Phone (817) 447-0445

225 SE John Jones Dr
Ste 101
Burleson, TX 76028
Phone (817) 447-0445

209 N Bonnie Brae St
Ste 301
Denton, TX 76201

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: lmcclain15429@cookchildrens.direct-ci.com

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1629005590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-1855",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SE JOHN JONES DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288341",
            "telephone_number": "817-447-0445",
            "fax_number": "817-447-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "LANNA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J6574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmcclain15429@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "225 SE John Jones Dr",
            "address_2": "STE 101",
            "city": "Burleson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760288341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmcclain15429@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "225 SE John Jones Dr",
            "city": "Burleson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760288341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.