Individual provider Active NPI

Angela Julia Lawrence, HOME HEALTH CARE

  • Home Health Registered Nurse
  • Mechanicsville, VA
National Provider Identifier
1447792080
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
HCO17726 Issued in VA
Practice address
8032 Mechanicsville Tpke
8032 Mechanicsville Turnpike
Mechanicsville, VA 23111-1223
Phone
(804) 559-0322
Fax
(804) 559-0344
NPI assigned
Nov 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X HCO17726 VA Primary

Addresses

Primary practice location

8032 Mechanicsville Tpke
8032 Mechanicsville Turnpike
Mechanicsville, VA 23111-1223

Mailing address

8032 Mechanicsville Tpke
8 032Mechanicsville Turnpike
Mechanicsville, VA 23111-1223
Phone (804) 559-0322

Other identifiers 1

IdentifierTypeStateIssuer
1093042723MedicaidVA

Other names 1

  • Owen John Lawrence Other name

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

LicenseStateTypeSpecialty
HCO17726VAMDHome Health Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1447792080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8032 MECHANICSVILLE TPKE",
            "address_2": "8 032MECHANICSVILLE TURNPIKE",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111223",
            "telephone_number": "804-559-0322",
            "fax_number": "804-559-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8032 MECHANICSVILLE TPKE",
            "address_2": "8032 MECHANICSVILLE TURNPIKE",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111223",
            "telephone_number": "804-559-0322",
            "fax_number": "804-559-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "ANGELA",
        "middle_name": "JULIA",
        "credential": "HOME HEALTH CARE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "VA",
            "license": "HCO17726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093042723",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OWEN",
            "last_name": "LAWRENCE",
            "middle_name": "JOHN",
            "credential": "HOME HEALTH CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.