Lawrence Cedette Little III

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

OC60264322 Issued in WA

Practice address

800 N Medcalf LN
Montesano, WA 98563-1318

Phone

(360) 249-2273

NPI assigned

Apr 1, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Lawrence Cedette Little III Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1558724005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N FAIRFIELD ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985203018",
            "telephone_number": "360-637-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MEDCALF LN",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985631318",
            "telephone_number": "360-249-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "LAWRENCE",
        "middle_name": "CEDETTE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "OC60264322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "LITTLE",
            "middle_name": "CEDETTE",
            "prefix": "MR.",
            "suffix": "III",
            "credential": "COTA/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ana Lourdes P Lazarraga
• Kathryn Ann Lewis, CNM, FNP,MSN
• Mary RM Lewis, LMHC
• Mindy Ann Lewis, DNP
• Mikayla Lynn Lippincott
• Chona Lorico, RDN, IBCLC
• Leslie Luallin
• Aubrianna Rachelle McCann
• Evelyn McManus
• Juan Miguel Fernandez Mendoza, PT

• Community Health Worker in Montesano, WA
• Providers in Montesano, WA by specialty
• Community Health Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.