Active NPI
Nikole Marie Lawrence, APRN
- Primary Care Nurse Practitioner
- Gillette, WY
National Provider Identifier
1417569732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 46184
- Practice address
- 430 S Medical Arts CT
Gillette, WY 82716-3364 - Phone
- (307) 685-6500
- Fax
- (307) 685-3081
- NPI assigned
- Aug 18, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 46184 | WY | |
| Primary Care Nurse Practitioner | 363LP2300X | 46184 | WY | Primary |
Addresses
Primary practice location
430 S Medical Arts CT
Gillette, WY 82716-3364
Mailing address
1204 Pintail Dr
Gillette, WY 82718-8006
Phone (307) 670-2496
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cchwyo@cchwyo.sdhealthlink.net | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46184 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell County Hospital District, | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients |
Locations
430 S Medical Arts Ct
Gillette, WY 82716
Phone (307) 685-6500
501 S Burma Ave
Fl 3
Gillette, WY 82716
Phone (307) 688-3636
501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Gillette, WY
- NPI 1710098868
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Gillette, WY
- NPI 1881730141
-
- Community/Retail Pharmacy
- Gillette, WY
- NPI 1992874218
-
- Otolaryngology Physician
- Gillette, WY
- NPI 1316101405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1417569732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 PINTAIL DR",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827188006",
"telephone_number": "307-670-2496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 S MEDICAL ARTS CT",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827163364",
"telephone_number": "307-685-6500",
"fax_number": "307-685-3081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "NIKOLE",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-18",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "46184",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WY",
"license": "46184",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cchwyo@cchwyo.sdhealthlink.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "501 S Burma Ave",
"city": "Gillette",
"state": "WY",
"country_code": "US",
"postal_code": "827163426",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.