Individual provider Active NPI

Laura Katherine Connor, PA-C

  • Physician Assistant
  • Bellaire, TX
National Provider Identifier
1760148779
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15023 Issued in TX
Practice address
4747 Bellaire Blvd Ste 575
Bellaire, TX 77401-4535
Phone
(713) 575-3686
NPI assigned
Nov 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15023 TX Primary

Addresses

Primary practice location

4747 Bellaire Blvd Ste 575
Bellaire, TX 77401-4535

Mailing address

4641 Montrose Blvd Apt 953
Houston, TX 77006-6157
Phone (615) 336-4927

Other practice location 1

1331 W Grand Pkwy N Ste 210
Katy, TX 77493-2711
Phone (715) 575-3686

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
I20211215000622 TX Practitioner - Physician Assistant 2961893565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Endovascular Associates PLLCGroup PAC ID 2961708979, 12 clinicians

Practice addresses (Care Compare)

4747 Bellaire Blvd
Suite 550
Bellaire, TX 77401-4121
Phone (713) 575-3686

Merit-based Incentive Payment System (MIPS)

Final score
73.89 of 100Reported as group
Quality
81.15
Promoting interoperability
84
Improvement activities
40
Cost
45.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Service Providers, PA PastSince Nov 1, 2021 Accepting new patients
Zmediclinic Providers, PA PastSince Nov 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: laura.connor.1@12005.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": "1636848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1760148779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 MONTROSE BLVD APT 953",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770066157",
            "telephone_number": "615-336-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD STE 575",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014535",
            "telephone_number": "713-575-3686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 W Grand Pkwy N Ste 210",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774932711",
            "country_code": "US",
            "telephone_number": "715-575-3686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "LAURA",
        "middle_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-14",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.