Individual provider Active NPI

Katherine Allison Laney, APRN, FNP

  • Nurse Practitioner
  • Gilmer, TX
National Provider Identifier
1699376889
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1135575 Issued in TX
Practice address
739 Reynolds Rd
Gilmer, TX 75645-6807
Phone
(903) 790-8615
NPI assigned
Nov 4, 2020
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207000710 TX Order and Referring Only - Nurse Practitioner 1052841962

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
830788TXMDRegistered Nurse
1135575TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFADCA
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.