Individual provider Active NPI

Lindsay Jeanne Lawrence, ECDS

  • Developmental Therapist
  • West Memphis, AR
National Provider Identifier
1609620657
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
9274387 Issued in AR
Practice address
1600 Avondale Cir
West Memphis, AR 72301-1794
Phone
(870) 733-9950
Fax
(870) 733-9966
NPI assigned
Apr 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 9274387 AR
Developmental Therapist 222Q00000X 9274387 AR Primary

Addresses

Primary practice location

1600 Avondale Cir
West Memphis, AR 72301-1794

Mailing address

1600 Avondale Cir
West Memphis, AR 72301-1794
Phone (870) 733-9950

Other identifiers 1

IdentifierTypeStateIssuer
1841416716MedicaidAR

Other names 1

  • Mrs. Lindsay Jeanne Culp Former 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
9274387ARMDDevelopmental Therapist

NPI Registry JSON

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1609620657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 AVONDALE CIR",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011794",
            "telephone_number": "870-733-9950",
            "fax_number": "870-733-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 AVONDALE CIR",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011794",
            "telephone_number": "870-733-9950",
            "fax_number": "870-733-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "LINDSAY",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "ECDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "AR",
            "license": "9274387",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "AR",
            "license": "9274387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841416716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "CULP",
            "middle_name": "JEANNE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.