Ta Tanisha Lawrence

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

1002 Ingersoll Dr Ste 5
Phenix City, AL 36867-6040

Phone

(706) 289-0800

Fax

(334) 326-4988

NPI assigned

Feb 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Lawrence Designs

  dba Beautiful Crowns

  • Prosthetic/Orthotic Supplier
  • Phenix City, AL
  • NPI 1578218699
  NPD Authorized official

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1124773247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 INGERSOLL DR STE 5",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368676040",
            "telephone_number": "706-289-0800",
            "fax_number": "334-326-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 INGERSOLL DR STE 5",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368676040",
            "telephone_number": "706-289-0800",
            "fax_number": "334-326-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "TA",
        "middle_name": "TANISHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Koon, PMHNP-BC
• Sharon Lee Kridle, MSW
• Lana B. Atchley, D.M.D., L.L.C.
• Jazmine Ann Lavergne, COTA
• Lawrence Designs (Beautiful Crowns)
• Will Lawrence
• Wayne Eric Leising, PT, DPT
• William Lewis
• Lincare Inc.
• William Edward Lindley Jr., CRNP FNP-C

• Prosthetic/Orthotic Supplier in Phenix City, AL
• Providers in Phenix City, AL by specialty
• Prosthetic/Orthotic Supplier in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.