Individual provider Active NPI

Laura Clark Windham, M.D.

  • Pediatrics Physician
  • Chapel Hill, NC
National Provider Identifier
1902886211
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200001031 Issued in NC
Practice address
301 Kildaire Rd
Suite 200
Chapel Hill, NC 27516-4064
Phone
(919) 967-0771
Fax
(919) 967-9207
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 200001031 NC Primary

Addresses

Primary practice location

301 Kildaire Rd
Suite 200
Chapel Hill, NC 27516-4064

Mailing address

301 Kildaire Rd
Suite 200
Chapel Hill, NC 27516-4064
Phone (919) 967-0771

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200001031NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chapel Hill Children & Adolescents' Clinic Pediatrics Current Accepting new patients

Locations

301 Kildaire Rd
Ste 200
Chapel Hill, NC 27516
Phone (919) 360-0719

Interoperability endpoints

  • Direct secure messaging: laurawindham@chcac.allscriptsdirect.net

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1902886211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 KILDAIRE RD",
            "address_2": "SUITE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164064",
            "telephone_number": "919-967-0771",
            "fax_number": "919-967-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KILDAIRE RD",
            "address_2": "SUITE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275164064",
            "telephone_number": "919-967-0771",
            "fax_number": "919-967-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "LAURA",
        "middle_name": "CLARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200001031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.