Active NPI
Laura Elkins, CPNP
- Pediatric Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1821428400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 655202
- Practice address
- 1401 W Pulaski St
Fort Worth, TX 76104-2717 - Phone
- (682) 885-8012
- Fax
- (682) 885-8014
- NPI assigned
- Nov 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 655202 | TX | Primary |
Addresses
Primary practice location
1401 W Pulaski St
Fort Worth, TX 76104-2717
Mailing address
PO Box 99371
Fort Worth, TX 76199-0371
Phone (682) 885-1855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 655202 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ferris Pediatrics | Pediatrics | Current | Accepting new patients |
Locations
207 W 5th St
Ste A
Ferris, TX 75125
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1821428400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99371",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761990371",
"telephone_number": "682-885-1855",
"fax_number": "682-885-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W PULASKI ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042717",
"telephone_number": "682-885-8012",
"fax_number": "682-885-8014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKINS",
"first_name": "LAURA",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-19",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "655202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Elite Weight Loss and Wellness Centers, LLC (Thinique Medical Weight Loss)
- Elizabeth Laborde DDS PLLC (Clearfork Pediatric Dentistry)
- Epifanio Elizondo, PA-C
- Emily Elkins, PA
- Jennifer Elkins, PA
- Robin Joseph Elkins, LPC
- Sally S Elkins, RN
- Ellehcor Christian in-Home Care & Health Aide,LLC
- Paul H. Ellenbogen, M.D.
- Stephen Wayne Eller, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.