Active NPI
Katherine Allison Laney, APRN, FNP
- Nurse Practitioner
- Gilmer, TX
National Provider Identifier
1699376889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1135575
- Practice address
- 739 Reynolds Rd
Gilmer, TX 75645-6807 - Phone
- (903) 790-8615
- NPI assigned
- Nov 4, 2020
- Last updated
- Sep 8, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 830788 | TX | |
| Nurse Practitioner | 363L00000X | 1135575 | TX | Primary |
Addresses
Primary practice location
739 Reynolds Rd
Gilmer, TX 75645-6807
Mailing address
739 Reynolds Rd
Gilmer, TX 75645-6807
Phone (903) 790-8615
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250207000710 | TX | Order and Referring Only - Nurse Practitioner | 1052841962 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 830788 | TX | MD | Registered Nurse |
| 1135575 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Health Resources for Texas, Incorporated | Past | Accepting new patients | |
| Special Health Resources for Texas, Incorporated | Past | Accepting new patients | |
| Special Health Resources for Texas, Incorporated | Past | Accepting new patients | |
| Special Health Resources for Texas, Incorporated | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AFADCA
- katherine.laney@wchcl.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
dba Longview Care Clinic
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1043209919
-
dba Tyler Care Clinic
- Federally Qualified Health Center (FQHC)
- Tyler, TX
- NPI 1184103285
-
dba Midtown Clinic of Tyler
- Federally Qualified Health Center (FQHC)
- Tyler, TX
- NPI 1609298132
-
dba Woman and Child Health Center
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1922556067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1699376889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "739 REYNOLDS RD",
"city": "GILMER",
"state": "TX",
"postal_code": "756456807",
"telephone_number": "903-790-8615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 REYNOLDS RD",
"city": "GILMER",
"state": "TX",
"postal_code": "756456807",
"telephone_number": "903-790-8615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANEY",
"first_name": "KATHERINE",
"middle_name": "ALLISON",
"credential": "APRN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "830788",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1135575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilmer, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.