Keishonta Lawrence

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

306926 Issued in NY

Practice address

20 Van Gorder St
Buffalo, NY 14214-2818

Phone

(716) 578-6309

NPI assigned

Nov 6, 2024

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1174346274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VAN GORDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142818",
            "telephone_number": "716-578-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 VAN GORDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142818",
            "telephone_number": "716-578-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "KEISHONTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Lawley
• Tania Lawniczak, NURSE PRACTITIONER
• Susan Lawrence-Dederich, MACCCSLP/L,TSHH
• Brittany M Lawrence
• David Joseph Lawrence, M.D.
• Lynn Marie Lawrence, MD
• Rosalind Lawrence
• Andrew Lawson
• Gerald Lawson, CRPA
• Kimberly A Lawson

• Adult Health Nurse Practitioner in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.