Laney W Fortinberry, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

314 Sawdust Rd
Suite 119
The Woodlands, TX 77380-2347

Phone

(281) 292-3030

Fax

(281) 292-1418

NPI assigned

Apr 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Clinic Service Providers, PA

  • Family Medicine Physician
  • Houston, TX
  • NPI 1568797496
  NPD (past)
• MHS Physicians of Texas

  • Neurological Surgery Physician
  • Shenandoah, TX
  • NPI 1184714867
  NPD (past)
• Zmediclinic Providers, PA

  • Family Medicine Physician
  • The Woodlands, TX
  • NPI 1952874687
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1982726584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 GOLDEN AUTUMN PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844803",
            "telephone_number": "281-814-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 SAWDUST RD",
            "address_2": "SUITE 119",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802347",
            "telephone_number": "281-292-3030",
            "fax_number": "281-292-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTINBERRY",
        "first_name": "LANEY",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-11-30",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04300",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trase Foote
• For the Love of Health Inc
• Leslie Jane Ford, FNP-C
• Forest Landing Surgical Center LLC
• Krista Formica, M.D.
• Brandi Foster, FNP-C
• Megan Fournier, NP
• Daniel Joseph Fox, PH.D.
• Jamie Cox Fox, MA, CCC-SLP
• Patrick Joseph Fox Jr., MD

• Physician Assistant in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.