Active NPI
Mary Jo Lawrence, FNP
- Family Health Clinical Nurse Specialist
- Manassas, VA
National Provider Identifier
1225220411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- 0024134318
- Practice address
- 10696 Crestwood Dr Ste B
Manassas, VA 20109-4411 - Phone
- (703) 368-7110
- NPI assigned
- Aug 13, 2007
- 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 |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | 0024134318 | VA | Primary |
Addresses
Primary practice location
10696 Crestwood Dr Ste B
Manassas, VA 20109-4411
Mailing address
4601 Weston Road Rte 747
Casanova, VA 20139
Phone (540) 788-4224
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
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024134318 | VA | MD | Family Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186963200000",
"number": "1225220411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 WESTON ROAD RTE 747",
"city": "CASANOVA",
"state": "VA",
"postal_code": "20139",
"telephone_number": "540-788-4224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10696 CRESTWOOD DR STE B",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201094411",
"telephone_number": "703-368-7110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "MARY JO",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2007-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "VA",
"license": "0024134318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.