Active NPI
Lauren De'an Conner, P.A.-C.
- Medical Physician Assistant
- Livingston, TX
National Provider Identifier
1689851370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA05605
- Practice address
- 210 W Park Ste 106
Livingston, TX 77351-8338 - Phone
- (936) 262-7161
- Fax
- (936) 262-7152
- NPI assigned
- Jan 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA05605 | TX | Primary |
Addresses
Primary practice location
210 W Park Ste 106
Livingston, TX 77351-8338
Mailing address
210 W Park Ste 106
Livingston, TX 77351-8338
Phone (936) 262-7161
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1367 Dominion PLZ
Tyler, TX 75703-1013
Phone (903) 534-6200
210 W Park
Suite 106
Livingston, TX 77351-8338
Phone (936) 262-7161
901 Walnut Hill Dr
Longview, TX 75605-5054
Phone (903) 757-8878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA05605 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler County Hospital District | Current | Accepting new patients | |
| Dermatology Associates | Past | Accepting new patients |
Locations
104 N Beech St
Woodville, TX 75979
Phone (409) 283-2822
Interoperability endpoints
- laurenconner@tchfamilym.allscriptsdirect.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- lconner@dermatologyassociates.emadirect.md
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.
-
- Dermatology Physician
- Dallas, TX
- NPI 1457695413
-
- General Practice Physician
- Woodville, TX
- NPI 1285631945
-
- Dermatology Physician
- Houston, TX
- NPI 1356523039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1689851370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 W PARK STE 106",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773518338",
"telephone_number": "936-262-7161",
"fax_number": "936-262-7152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W PARK STE 106",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773518338",
"telephone_number": "936-262-7161",
"fax_number": "936-262-7152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "LAUREN",
"middle_name": "DE'AN",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA05605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.