Individual provider Active NPI

Nicola C Lawrence, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1073531109
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3367 Issued in AZ
Practice address
4601 E Fort Lowell Rd
Tucson, AZ 85712-1183
Phone
(520) 396-4413
Fax
(520) 396-4764
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3367 AZ Primary

Addresses

Primary practice location

4601 E Fort Lowell Rd
Tucson, AZ 85712-1183

Mailing address

2550 Thunderbird Cir
Suite 303
Mesa, AZ 85215-1215
Phone (480) 924-8382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20060421000125 AZ Practitioner - Physician Assistant 8527078427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treu PLLCGroup PAC ID 0749541027, 8 clinicians

Practice addresses (Care Compare)

4601 E Fort Lowell Rd
Tucson, AZ 85712-1183
Phone (520) 396-4413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Therapy CurrentSince Mar 30, 2025 Accepting new patients
Wellbeing Institute Inc Past Accepting new patients

Locations

4601 E Fort Lowell Rd
Ste 131
Tucson, AZ 85712
Phone (520) 396-4413

4601 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 396-4413

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1073531109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 THUNDERBIRD CIR",
            "address_2": "SUITE 303",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151215",
            "telephone_number": "480-924-8382",
            "fax_number": "480-924-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 E FORT LOWELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121183",
            "telephone_number": "520-396-4413",
            "fax_number": "520-396-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "NICOLA",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.