Individual provider Active NPI

Dawnelle M Lawrence, SLP

  • Speech-Language Pathologist
  • Bowling Green, KY
National Provider Identifier
1467520015
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
142378 Issued in KY
Practice address
1751 Scottsville Rd Ste 9
Bowling Green, KY 42104-3357
Phone
(270) 202-1061
NPI assigned
Dec 1, 2006
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 142378 KY Primary

Addresses

Primary practice location

1751 Scottsville Rd Ste 9
Bowling Green, KY 42104-3357

Mailing address

PO Box 896114
Charlotte, NC 28289-6114
Phone (270) 796-6800

Other identifiers 1

IdentifierTypeStateIssuer
1760411342OtherKYGROUP NPI #

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
142378KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Commonwealth Health Corporation, Inc. Speech-Language Pathologist CurrentSince Jan 1, 2019 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Bluegrass Outpatient Center of Bowling Green, L.L.C. Speech-Language Pathologist Past Accepting new patients

Locations

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

1100 Brookhaven Rd
Franklin, KY 42134
Phone (270) 586-3253

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, 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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1467520015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896114",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896114",
            "telephone_number": "270-796-6800",
            "fax_number": "270-781-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 SCOTTSVILLE RD STE 9",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043357",
            "telephone_number": "270-202-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "DAWNELLE",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "142378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #",
            "identifier": "1760411342",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.