Active NPI
Jennifer D Lawrence, MD
- Family Medicine Physician
- Stanwood, WA
National Provider Identifier
1003295817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD61075786
- Practice address
- 9631 269TH St NW
Stanwood, WA 98292-8071 - Phone
- (360) 629-1600
- Fax
- (360) 629-1644
- NPI assigned
- May 26, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT209044 | PA | |
| Family Medicine Physician | 207Q00000X | ML60969726 | WA | |
| Family Medicine Physician | 207Q00000X | MD61075786 | WA | Primary |
Addresses
Primary practice location
9631 269TH St NW
Stanwood, WA 98292-8071
Mailing address
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlawrence36083@skagit.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Temple University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9631 269TH St NW
Stanwood, WA 98292-8071
Phone (360) 629-1600
Hospital & facility affiliations
- Assured Home Health
- Skagit Valley Hospital
- Cascade Valley Hospital
- Oaklawn Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61075786 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Locations
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
9631 269th St NW
Stanwood, WA 98292
Phone (360) 629-1600
Interoperability endpoints
- jlawrence36083@skagit.direct-ci.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 and National Provider Directory roles.
-
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
- Specialist
- Mount Vernon, WA
- NPI 1629012463
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Mountlake Terrace, WA
- NPI 1770998528
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
-
- General Acute Care Hospital
- Arlington, WA
- NPI 1073566246
-
- General Acute Care Hospital
- Marshall, MI
- NPI 1861475360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628121600000",
"number": "1003295817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9631 269TH ST NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982928071",
"telephone_number": "360-629-1600",
"fax_number": "360-629-1644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "JENNIFER",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-26",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT209044",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "ML60969726",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61075786",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlawrence36083@skagit.direct-ci.com",
"affiliation": "N",
"endpointDescription": "Provider Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9631 269th St NW",
"city": "Stanwood",
"state": "WA",
"country_code": "US",
"postal_code": "982928071",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Stanwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.