Individual provider Active NPI

Lara Ann Haydock, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1720046758
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN648689 Issued in TX
Practice address
1635 North Loop West
Houston, TX 77008-1593
Phone
(713) 400-2990
Fax
(713) 400-2993
NPI assigned
May 1, 2006
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 648689 TX
Certified Registered Nurse Anesthetist 367500000X RN648689 TX Primary

Addresses

Primary practice location

1635 North Loop West
Houston, TX 77008-1593

Mailing address

PO Box 22926
Jackson, MS 39225-2926
Phone (713) 400-2990

Other identifiers 2

IdentifierTypeStateIssuer
1692584-02MedicaidTX
86239UOtherTXBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624001674 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173509825 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texans Anesthesia Associates PLLCGroup PAC ID 8820171390, 197 clinicians
Tejas Anesthesia PLLCGroup PAC ID 4284615626, 28 clinicians
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Practice addresses (Care Compare)

1635 N Loop W
Houston, TX 77008-1532
Phone (713) 400-2990

2240 Gulf Fwy S
League City, TX 77573-5143
Phone (954) 939-5000

333 N Texas Ave
Suite 1000
Webster, TX 77598-4962
Phone (713) 400-2990

500 W Medical Ctr Blvd
Greater Houston Anesthesiology
Webster, TX 77598-4220
Phone (281) 332-2511

7401 Main St
Houston, TX 77030-4509
Phone (713) 400-2990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
648689TXMDCertified Registered Nurse Anesthetist
RN648689TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2016 Accepting new patients
Texans Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2011 Accepting new patients
Ut Physicians CurrentSince Jul 1, 2016 Accepting new patients
Independent Physicians Network PLLC CurrentSince Sep 1, 2022 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 6, 2025 Accepting new patients
Tejas Anesthesia PLLC CurrentSince Jun 1, 2023 Accepting new patients
Tejas Anesthesia PLLC CurrentSince Jun 1, 2023 Accepting new patients
Compass Anesthesia Providers PLLC CurrentSince Jan 1, 2020 Accepting new patients
Pediatric Dentistry of Keller PLLC PastSince Jul 28, 2019 Accepting new patients
Texas Pain Consultants, LLP Past Accepting new patients

Locations (25 of 31)

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

12700 N Featherwood Dr
Ste 100
Houston, TX 77034
Phone (281) 481-9303

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

4120 Southwest Fwy
Ste 100
Houston, TX 77027
Phone (713) 626-8500

5858 Westheimer Rd
Ste 82
Houston, TX 77057
Phone (713) 784-6065

6400 Fannin St
Ste 1500
Houston, TX 77030
Phone (713) 790-7700

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

7700 Fannin St
Houston, TX 77054
Phone (713) 790-1349

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

1627 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (480) 207-9709

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

1211 Highway 6
Sugar Land, TX 77478
Phone (281) 238-3900

1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/957/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 10

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1720046758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22926",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392252926",
            "telephone_number": "713-400-2990",
            "fax_number": "713-400-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 NORTH LOOP WEST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081593",
            "telephone_number": "713-400-2990",
            "fax_number": "713-400-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDOCK",
        "first_name": "LARA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "648689",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "RN648689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1692584-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "86239U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.