Clarissa Marie Lawrence

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CLARISSA MARIE LAWRENCE

Practice address

7929 N 76TH St
Milwaukee, WI 53223-3947

Phone

(414) 554-9774

Fax

(414) 979-0325

NPI assigned

May 1, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Clarissa M Lawrence, DNP, APNP, FNP-BCNPI 1194292268

Title

Owner/Family Nurse Practitioner

Phone

(414) 554-9774

Specialties & licenses 2

Addresses

Other names 1

• Community Health Primary Care Services LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clarissa M Lawrence, DNP, APNP, FNP-BC

  • Family Nurse Practitioner
  • Milwaukee, WI
  • NPI 1194292268
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1255952149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532233947",
            "telephone_number": "414-554-9774",
            "fax_number": "414-979-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7929 N 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532233947",
            "telephone_number": "414-554-9774",
            "fax_number": "414-979-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARISSA MARIE LAWRENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CLARISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "414-554-9774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APNP, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Primary Care Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.