Individual provider Active NPI

Jessica Lawler, NP

  • Family Nurse Practitioner
  • Woonsocket, RI
National Provider Identifier
1427676709
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03200574 Issued in RI
Practice address
68 Cumberland St Ste 205
Woonsocket, RI 02895-3331
Phone
(401) 765-4100
NPI assigned
Jul 13, 2020
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03200574 RI Primary

Addresses

Primary practice location

68 Cumberland St Ste 205
Woonsocket, RI 02895-3331

Mailing address

1524 Atwood Ave Ste 336
Johnston, RI 02919-3228

Other practice location 1

1524 Atwood Ave Ste 336
Johnston, RI 02919-3228
Phone (401) 228-6844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220928000345 RI Practitioner - Nurse Practitioner 5890100275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rhode Island Medicine IncGroup PAC ID 7012086077, 3 clinicians

Practice addresses (Care Compare)

68 Cumberland St
Suite 205
Woonsocket, RI 02895-3331
Phone (401) 765-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F03200574RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physicians LLC. Current Accepting new patients
Rhode Island Medicine Inc. CurrentSince May 17, 2022 Accepting new patients
Lifestyle Medicine of Rhode Island, LLC PastSince Jul 1, 2020 Accepting new patients

Locations

333 School St
Ste 302
Pawtucket, RI 02860
Phone (401) 725-3520

20 Cumberland Hill Rd
Unit 104
Woonsocket, RI 02895
Phone (401) 286-3324

68 Cumberland St
Ste 102
Woonsocket, RI 02895
Phone (401) 356-1940

68 Cumberland St
Ste 205
Woonsocket, RI 02895
Phone (401) 762-4473

Interoperability endpoints

  • Direct secure messaging: jlawler@direct.carene.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1427676709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE STE 336",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST STE 205",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953331",
            "telephone_number": "401-765-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 Atwood Ave Ste 336",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029193228",
            "country_code": "US",
            "telephone_number": "401-228-6844",
            "fax_number": "401-228-6855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWLER",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "F03200574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.