Active NPI
Laura Clark Windham, M.D.
- Pediatrics Physician
- Chapel Hill, NC
National Provider Identifier
1902886211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 200001031
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 200001031 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Pediatrics Physician
- Chapel Hill, NC
- NPI 1881792992
Pediatrics
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.