Individual provider Active NPI

Laura Ann Croom, NP

  • Adult Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1730522178
Registry record updated Oct 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP123511 Issued in TX
Practice address
2211 Fry Rd Ste O
Katy, TX 77449-6233
Phone
(832) 321-3452
Fax
(833) 746-4523
NPI assigned
Apr 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 794738 TX
Adult Health Nurse Practitioner 363LA2200X AP123511 TX Primary

Addresses

Primary practice location

2211 Fry Rd Ste O
Katy, TX 77449-6233

Mailing address

23110 Cinco Ranch Blvd
Katy, TX 77494-2891
Phone (402) 598-1824

Other names 1

  • Ms. Laura Ann Erickson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140807002164 TX Practitioner - Nurse Practitioner 8123245503 Reassigns benefits to 1 organization
I20160203002356 CO Practitioner - Nurse Practitioner 8123245503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

24510 Kingsland Blvd
Katy, TX 77494-3429
Phone (281) 394-2390

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
794738TXMDAdult Health Nurse Practitioner
AP123511TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inner City Health Center CurrentSince Jul 25, 2018 Accepting new patients
Inner City Health Center CurrentSince Jul 25, 2018 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Sep 26, 2022 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Sep 26, 2022 Accepting new patients

Locations

3800 N York St
Denver, CO 80205
Phone (303) 296-1767

6301 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 940-9118

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

24510 Kingsland Blvd
Katy, TX 77494
Phone (281) 394-2390

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: laura.croom.1@8042.direct.athenahealth.com
  • Direct secure messaging: laura.croom.1@2370.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696118400000",
    "number": "1730522178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23110 CINCO RANCH BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942891",
            "telephone_number": "402-598-1824",
            "fax_number": "713-929-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 FRY RD STE O",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496233",
            "telephone_number": "832-321-3452",
            "fax_number": "833-746-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOM",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2023-10-01",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "794738",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP123511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ERICKSON",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "ANP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.