Active NPI
Christina Boover Lawrence, AU.D., CCC-A/SLP
- Audiologist
- Mancos, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 644
- Practice address
- 111 N Main St
Mancos, CO 81328-5004 - Phone
- (970) 459-1179
- NPI assigned
- Jun 5, 2013
- Last updated
- May 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 644 | CO | Primary |
| Speech-Language Pathologist | 235Z00000X | CO |
Addresses
Primary practice location
111 N Main St
Mancos, CO 81328-5004
Mailing address
PO Box 1256
Mancos, CO 81328-1256
Phone (197) 045-9117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, PR
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 N Main St
Mancos, CO 81328-5004
Phone (970) 459-1179
1510 FD Roosevelt Ave Triple S Plaz
Suite 705
Guaynabo, PR 00962
Phone (787) 520-5404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Speech and Hearing Services | Audiologist | Current | Accepting new patients |
Locations
515 W Grand Ave
Unit E
Mancos, CO 81328
Phone (970) 459-1179
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, 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": "1370390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1619315330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1256",
"city": "MANCOS",
"state": "CO",
"postal_code": "813281256",
"telephone_number": "197-045-9117",
"fax_number": "800-531-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N MAIN ST",
"city": "MANCOS",
"state": "CO",
"postal_code": "813285004",
"telephone_number": "970-459-1179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "CHRISTINA",
"middle_name": "BOOVER",
"name_prefix": "Dr.",
"credential": "AU.D., CCC-A/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-05",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CO",
"license": "644",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mancos, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.