Active NPI
Betty Jean Lawrence, LMT
- Specialist
- Myrtle Beach, SC
National Provider Identifier
1437401916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MAS . 8158
- Practice address
- 514 Alder St
Suite 6
Myrtle Beach, SC 29577-3854 - Phone
- (843) 902-4863
- NPI assigned
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MAS . 8158 | SC | Primary |
Addresses
Primary practice location
514 Alder St
Suite 6
Myrtle Beach, SC 29577-3854
Mailing address
514 Alder St
Suite 6
Myrtle Beach, SC 29577-3854
Phone (843) 902-4863
Other names 1
- Mrs. Betty Jean Mathews
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAS . 8158 | SC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iasis Center | Specialist | 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.
-
- Specialist
- Myrtle Beach, SC
- NPI 1225380702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1437401916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 ALDER ST",
"address_2": "SUITE 6",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295773854",
"telephone_number": "843-902-4863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 ALDER ST",
"address_2": "SUITE 6",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295773854",
"telephone_number": "843-902-4863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "BETTY",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "MAS . 8158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETTY",
"last_name": "MATHEWS",
"middle_name": "JEAN",
"prefix": "MRS.",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.