Individual provider Active NPI

Lauren Symone Woodberry, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1700695947
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1093978 Issued in TX
Practice address
9433 Merganser Dr
Fort Worth, TX 76118-7791
Phone
(817) 343-3682
NPI assigned
Jan 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1093978 TX Primary

Addresses

Primary practice location

9433 Merganser Dr
Fort Worth, TX 76118-7791

Mailing address

9433 Merganser Dr
Fort Worth, TX 76118-7791
Phone (817) 343-3682

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
I20250320002544 TX Practitioner - Nurse Practitioner 8527580356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alazar Medical Group, PLLCGroup PAC ID 3678702867, 6 clinicians

Practice addresses (Care Compare)

895 N Nolan River Rd
Suite 102
Cleburne, TX 76033-1250
Phone (817) 556-9700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alazar Medical Group, PLLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

201 Walls Dr
Ste 505
Cleburne, TX 76033
Phone (817) 556-9700

895 N Nolan River Rd
Ste 102
Cleburne, TX 76033
Phone (817) 556-9700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAEJCA

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1700695947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 MERGANSER DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761187791",
            "telephone_number": "817-343-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 MERGANSER DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761187791",
            "telephone_number": "817-343-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBERRY",
        "first_name": "LAUREN",
        "middle_name": "SYMONE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1093978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.