Individual provider Active NPI

Laura Michelle Myers, APRN, FNP-C

  • General Practice Physician
  • Waco, TX
National Provider Identifier
1780429894
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1148951 Issued in TX
Practice address
318 Richland West Cir Ste a
Waco, TX 76712-7912
Phone
(254) 776-8008
NPI assigned
Jun 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 1148951 TX Primary

Addresses

Primary practice location

318 Richland West Cir Ste a
Waco, TX 76712-7912

Mailing address

328 Spring Ridge Cir
China Spring, TX 76633-2973
Phone (254) 723-0421

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
I20240930002721 TX Practitioner - Nurse Practitioner 9234660309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Waco Functional Medicine, PAGroup PAC ID 0244416162, 7 clinicians

Practice addresses (Care Compare)

318 Richland W Cir
Suite B
Waco, TX 76712-7912
Phone (254) 776-8008

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Functional Medicine, PA CurrentSince Jul 1, 2024 Accepting new patients
GTG Enterprises, LLC PastSince Mar 3, 2024 Accepting new patients

Locations

318 Richland West Cir
Waco, TX 76712
Phone (254) 776-8008

318 Richland West Cir
Ste B
Waco, TX 76712
Phone (254) 776-8008

318 Richland West Cir
Ste A
Waco, TX 76712
Phone (254) 537-6600

Organizations & group practices 2

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": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1780429894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 SPRING RIDGE CIR",
            "city": "CHINA SPRING",
            "state": "TX",
            "postal_code": "766332973",
            "telephone_number": "254-723-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 RICHLAND WEST CIR STE A",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127912",
            "telephone_number": "254-776-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "LAURA",
        "middle_name": "MICHELLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "1148951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.