Individual provider Active NPI

Laurier Junior Paul, NP

  • Family Nurse Practitioner
  • Shepherd, TX
National Provider Identifier
1962025445
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1117632 Issued in TX
Practice address
11 Woodland Park Dr
Shepherd, TX 77371-6495
Phone
(936) 628-1100
NPI assigned
May 19, 2020
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X HSE30584 FL
Family Nurse Practitioner 363LF0000X 1117632 TX Primary

Addresses

Primary practice location

11 Woodland Park Dr
Shepherd, TX 77371-6495

Mailing address

14918 Waterside View CT
Houston, TX 77044-2087
Phone (561) 667-7230

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
I20231027001877 TX Practitioner - Nurse Practitioner 4486000411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Center of Southeast TexasGroup PAC ID 9739195041, 18 clinicians

Practice addresses (Care Compare)

11 Woodland Park Dr
Health Ctr of SE TX Shepherd
Shepherd, TX 77371-7737
Phone (936) 628-1100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HSE30584FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Center of Southeast Texas Current Accepting new patients
Health Center of Southeast Texas Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Health Center of Southeast Texas Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Health Center of Southeast Texas Family Medicine PastSince Feb 25, 2024 Accepting new patients

Locations

307 N William Barnett Ave
Cleveland, TX 77327
Phone (281) 592-2224

2206 N Cleveland St
Dayton, TX 77535
Phone (281) 592-2224

1400 N Travis St
Liberty, TX 77575
Phone (936) 327-4660

204 W Park
Ste 200
Livingston, TX 77352
Phone (936) 327-4660

11 Woodland Park Dr
Shepherd, TX 77371
Phone (936) 628-1100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIDFAA
  • Direct secure messaging: laurier.paul.1@28492.direct.athenahealth.com

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, 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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1962025445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14918 WATERSIDE VIEW CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770442087",
            "telephone_number": "561-667-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WOODLAND PARK DR",
            "city": "SHEPHERD",
            "state": "TX",
            "postal_code": "773716495",
            "telephone_number": "936-628-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "LAURIER",
        "middle_name": "JUNIOR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HSE30584",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1117632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherd, TX

Sources for this page

Verify at the official NPI Registry.