Individual provider Active NPI

Lauree Beth Lawler, CNP

  • Family Nurse Practitioner
  • Centerville, OH
National Provider Identifier
1093892903
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-06894 Issued in OH
Practice address
979 Congress Park Dr
Centerville, OH 45459-4009
Phone
(937) 435-9013
Fax
(937) 435-1458
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-194868 OH
Family Nurse Practitioner 363LF0000X NP-06894 OH Primary

Addresses

Primary practice location

979 Congress Park Dr
Centerville, OH 45459-4009

Mailing address

979 Congress Park Dr
Centerville, OH 45459-4009
Phone (937) 435-9013

Other identifiers 1

IdentifierTypeStateIssuer
2372463MedicaidOH

Other names 1

  • Ms. Lauree Beth Sipple Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address llawler199750@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070912000160 OH Practitioner - Nurse Practitioner 8921191529 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-194868OHMDRegistered Nurse
NP-06894OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physicians Inc CurrentSince Sep 10, 2017 Accepting new patients
Alliance Physicians Inc CurrentSince Sep 10, 2017 Accepting new patients

Locations

29 Kyle Dr
Cedarville, OH 45314
Phone (937) 766-2611

1989 Miamisburg Centerville Rd
Ste 204
Dayton, OH 45459
Phone (937) 384-6822

7740 Washington Village Dr
Ste 130
Dayton, OH 45459
Phone (513) 932-4891

101 E Alex Bell Rd
Ste 190
Dayton, OH 45459
Phone (937) 425-4020

979 Congress Park Dr
Dayton, OH 45459
Phone (937) 435-9013

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

825 N Main St
Ste 120
Springboro, OH 45066
Phone (937) 762-5030

7700 Washington Village Dr
Ste 260
Washington Township, OH 45459
Phone (937) 435-9013

1028 Miamisburg Centerville Rd
Washington Township, OH 45459
Phone (937) 281-6340

1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534

1141 N Monroe Dr
Xenia, OH 45385
Phone (937) 352-2000

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093892903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 CONGRESS PARK DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594009",
            "telephone_number": "937-435-9013",
            "fax_number": "937-435-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 CONGRESS PARK DR",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594009",
            "telephone_number": "937-435-9013",
            "fax_number": "937-435-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLER",
        "first_name": "LAUREE",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-194868",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-06894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2372463",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llawler199750@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "979 Congress Park Dr",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "979 Congress Park Dr",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAUREE",
            "last_name": "SIPPLE",
            "middle_name": "BETH",
            "prefix": "MS.",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.