Active NPI
Melanie D. Lawrence, NP
- Nurse Practitioner
- Conway, SC
National Provider Identifier
1205252624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 18727
- Practice address
- 394 Singleton Ridge Rd
Conway, SC 29526-9150 - Phone
- (843) 347-8765
- Fax
- (843) 347-3499
- NPI assigned
- Mar 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 18727 | SC | Primary |
Addresses
Primary practice location
394 Singleton Ridge Rd
Conway, SC 29526-9150
Mailing address
2234 Colonial Blvd
Attn: Payer Contracting & Relations Dept.
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP2742 | Medicaid | SC | |
| 1118719 | Other | SC | WELLCARE |
| P01329637 | Other | SC | RR MEDICARE |
| 30177576 | Other | SC | SELECT HEALTH |
| 4895462 | Other | SC | AETNA |
| 80023032 | Other | SC | SELECT HEALTH |
Other names 1
- Melanie D. Johnston
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1205252624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "ATTN: PAYER CONTRACTING & RELATIONS DEPT.",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "394 SINGLETON RIDGE RD",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269150",
"telephone_number": "843-347-8765",
"fax_number": "843-347-3499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "MELANIE",
"middle_name": "D.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-10",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "18727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP2742",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "1118719",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01329637",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "30177576",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4895462",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "80023032",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "JOHNSTON",
"middle_name": "D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.