Individual provider Active NPI

Kimberley L Lawrence, M.S., LPE-I

  • Psychologist
  • Sherwood, AR
National Provider Identifier
1497923577
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
09-09EI Issued in AR
Practice address
7512 Highway 107
Sherwood, AR 72120-4645
Phone
(501) 992-6467
Fax
(501) 214-6871
NPI assigned
Feb 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 09-09EI AR Primary

Addresses

Primary practice location

7512 Highway 107
Sherwood, AR 72120-4645

Mailing address

PO Box 6138
Sherwood, AR 72124-6138
Phone (501) 992-6467

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
09-09EIARMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Lifepsych Services, LLC Psychologist CurrentSince Mar 24, 2025 Accepting new patients

Locations

7512 Highway 107
Sherwood, AR 72120
Phone (501) 256-4486

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.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1497923577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6138",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721246138",
            "telephone_number": "501-992-6467",
            "fax_number": "501-214-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7512 HIGHWAY 107",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721204645",
            "telephone_number": "501-992-6467",
            "fax_number": "501-214-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "KIMBERLEY",
        "middle_name": "L",
        "credential": "M.S., LPE-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AR",
            "license": "09-09EI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.