Individual provider Active NPI

Lauren Jerige, NP

  • Family Nurse Practitioner
  • Canyon, TX
National Provider Identifier
1922850684
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1138290 Issued in TX
Practice address
2403 Russell Long Blvd Ste 107
Canyon, TX 79016-0005
Phone
(806) 651-2487
NPI assigned
Apr 4, 2024
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1138290 TX Primary

Addresses

Primary practice location

2403 Russell Long Blvd Ste 107
Canyon, TX 79016-0005

Mailing address

2400 S Polk St Apt 206
Amarillo, TX 79109-2861
Phone (806) 570-7755

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
I20240524002097 TX Practitioner - Nurse Practitioner 2365884186 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1138290TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Panhandle Family Care LLC CurrentSince Apr 1, 2024 Accepting new patients
FMC Medical Foundation, Inc. Family CurrentSince Sep 18, 2025 Accepting new patients
Panhandle Family Care LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

2329 Ross Osage St
Amarillo, TX 79103
Phone (806) 350-5790

1600 S FM 2381
Bushland, TX 79124
Phone (806) 310-9853

911 23rd St
Canyon, TX 79015
Phone (806) 655-2104

911 23rd St
#0
Canyon, TX 79015

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25616/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lauren.jerige.1@33715.direct.athenahealth.com

Organizations & group practices 3

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": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1922850684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S POLK ST APT 206",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791092861",
            "telephone_number": "806-570-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 RUSSELL LONG BLVD STE 107",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790160005",
            "telephone_number": "806-651-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERIGE",
        "first_name": "LAUREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1138290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon, TX

Sources for this page

Verify at the official NPI Registry.