Individual provider Active NPI

Laura Minor, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1891432597
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1087904 Issued in TX
Practice address
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone
(970) 444-2293
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0000095880 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3659 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3017688 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1087904 TX Primary

Addresses

Primary practice location

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Mailing address

5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (970) 444-2293

Other practice location 1

5282 Medical Dr Ste 605
San Antonio, TX 78229-6114
Phone (210) 271-7411

Other identifiers 1

IdentifierTypeStateIssuer
7100817060MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nptele@zwgroup.net Direct Zeitgeist Wellness Group
Direct Messaging Address nptele@zwgroup.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3659TNMDPharmacist
1087904TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Behavioral Health LLC. Psychiatric/Mental Health Current Accepting new patients
Pikeville Medical Center Inc PastSince May 1, 2022 Accepting new patients
Pikeville Medical Center Inc. PastSince May 1, 2022 Accepting new patients
Pikeville Medical Center Inc PastSince Oct 1, 2022 Accepting new patients

Locations

5900 Balcones Dr
Ste 100
Austin, TX 78731

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": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1891432597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "970-444-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314298",
            "telephone_number": "970-444-2293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5282 Medical Dr Ste 605",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782296114",
            "country_code": "US",
            "telephone_number": "210-271-7411",
            "fax_number": "210-444-2171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINOR",
        "first_name": "LAURA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000095880",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "3659",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3017688",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1087904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100817060",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nptele@zwgroup.net",
            "affiliation": "Y",
            "endpointDescription": "only for Zeitgeist Wellness and its subsidiaries",
            "affiliationName": "Zeitgeist Wellness Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5282 Medical Dr Ste 605",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782296114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nptele@zwgroup.net",
            "affiliation": "N",
            "endpointDescription": "work messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Only direct",
            "address_1": "5282 Medical Dr Ste 605",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782296114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.