Active NPI
Elizabeth Mary Lawrence, RN
- Registered Nurse
- Ithaca, NY
National Provider Identifier
1295566693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 756904
- Practice address
- 55 Brown Rd
Ithaca, NY 14850-1247 - Phone
- (607) 274-6600
- NPI assigned
- Aug 8, 2024
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 756904 | NY | Primary |
Addresses
Primary practice location
55 Brown Rd
Ithaca, NY 14850-1247
Mailing address
520 W Groton Rd
Groton, NY 13073-9785
Phone (607) 222-9252
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 756904 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tompkins County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- State or Local Public Health Clinic/Center
- Ithaca, NY
- NPI 1306995642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1295566693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 W GROTON RD",
"city": "GROTON",
"state": "NY",
"postal_code": "130739785",
"telephone_number": "607-222-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 BROWN RD",
"city": "ITHACA",
"state": "NY",
"postal_code": "148501247",
"telephone_number": "607-274-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "ELIZABETH",
"middle_name": "MARY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "756904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ithaca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.