Individual provider Active NPI

Haley Rose Lawrence, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1598412074
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0999927-NP Issued in CO
Practice address
3720 Sinton Rd Ste 104
Colorado Springs, CO 80907-5085
Phone
(719) 493-9555
NPI assigned
Mar 4, 2022
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0999927-NP CO Primary
Medical-Surgical Registered Nurse 163WM0705X RN.1670957 CO

Addresses

Primary practice location

3720 Sinton Rd Ste 104
Colorado Springs, CO 80907-5085

Mailing address

3720 Sinton Rd Ste 104
Colorado Springs, CO 80907-5085

Other practice location 1

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-5000

Other practice location 2

235 Wellesley St
Weston, MA 02493
Phone (781) 768-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240823003924 CO Practitioner - Nurse Practitioner 4183163983 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.1670957COMDMedical-Surgical Registered Nurse
APN.0999927-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainview Mindcare LLC Psychiatric/Mental Health Current Accepting new patients
Bundukamara Inc Psychiatric/Mental Health CurrentSince Aug 20, 2024 Accepting new patients

Locations

3720 Sinton Rd
Ste 104
Colorado Springs, CO 80907
Phone (719) 493-9555

Organizations & group practices 2

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": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1598412074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SINTON RD STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SINTON RD STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075085",
            "telephone_number": "719-493-9555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Boulder St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095533",
            "country_code": "US",
            "telephone_number": "719-365-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Wellesley St",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "MA",
            "postal_code": "02493",
            "country_code": "US",
            "telephone_number": "781-768-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "HALEY",
        "middle_name": "ROSE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0999927-NP",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CO",
            "license": "RN.1670957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.