Individual provider Active NPI

Yvonne Rose Lawrence-Green, LPN

  • Licensed Practical Nurse
  • Jamaica, NY
National Provider Identifier
1487100871
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
324365-1 Issued in NY
Practice address
17652 120TH Ave
Jamaica, NY 11434-1928
Phone
(347) 268-4096
NPI assigned
Aug 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 324365-1 NY Primary

Addresses

Primary practice location

17652 120TH Ave
Jamaica, NY 11434-1928

Mailing address

17652 120TH Ave
Jamaica, NY 11434-1928
Phone (347) 268-4096

Other names 1

  • Mrs. Yvonne Rose Lawrence-Green Professional 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
324365-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1487100871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17652 120TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341928",
            "telephone_number": "347-268-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17652 120TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341928",
            "telephone_number": "347-268-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE-GREEN",
        "first_name": "YVONNE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "324365-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "LAWRENCE-GREEN",
            "middle_name": "ROSE",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.