Individual provider Active NPI

Wendy Kaye Lawless, FNP-C

  • Family Nurse Practitioner
  • Bluefield, WV
National Provider Identifier
1073149407
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03200320 Issued in WV
Practice address
701 Bland St
Bluefield, WV 24701-3503
Phone
(304) 800-5542
Fax
(304) 325-5803
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024184002 VA
Family Nurse Practitioner 363LF0000X F03200320 WV Primary
Nurse Practitioner 363L00000X 0024184002 VA

Addresses

Primary practice location

701 Bland St
Bluefield, WV 24701-3503

Mailing address

701 Bland St
Bluefield, WV 24701-3503
Phone (304) 800-5542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230124001580 VA Practitioner - Nurse Practitioner 9739510256 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 Fashion Rd
Suite D
Pounding Mill, VA 24637-1200
Phone (276) 596-6375

1934 Leatherwood LN
Bluefield, VA 24605-2019
Phone (276) 596-6563

6719 Governor GC Peery Hwy
Suite 2450
Richlands, VA 24641-2486
Phone (276) 596-6786

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F03200320WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Professional Physician Services LLC CurrentSince Feb 1, 2023 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Feb 1, 2023 Accepting new patients
Clinch Valley Urology, LLC Past Accepting new patients
Lively Pediatrics, PLLC PastSince Mar 1, 2021 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1934 Leatherwood Ln
Bluefield, VA 24605
Phone (276) 596-6563

398 Clinic Rd
Cedar Bluff, VA 24609
Phone (276) 963-6600

111 Fashion Rd
Ste D
Pounding Mill, VA 24637
Phone (276) 325-0461

111 Fashion Rd
Pounding Mill, VA 24637

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGIDCD/Endpoint/HGIDCD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1073149407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 BLAND ST",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013503",
            "telephone_number": "304-800-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BLAND ST",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013503",
            "telephone_number": "304-800-5542",
            "fax_number": "304-325-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLESS",
        "first_name": "WENDY",
        "middle_name": "KAYE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024184002",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "F03200320",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024184002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluefield, WV

Sources for this page

Verify at the official NPI Registry.