Individual provider Active NPI

Christina Boover Lawrence, AU.D., CCC-A/SLP

  • Audiologist
  • Mancos, CO
National Provider Identifier
1619315330
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
644 Issued in CO
Practice address
111 N Main St
Mancos, CO 81328-5004
Phone
(970) 459-1179
NPI assigned
Jun 5, 2013
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, PR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210609000050 CO Practitioner - Qualified Speech Language Pathologist 3274933528 Reassigns benefits to 1 organization
I20210609002485 CO Practitioner - Qualified Audiologist 3274933528 Reassigns benefits to 1 organization
I20220819001589 PR Practitioner - Qualified Audiologist 3274933528 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Lawrence Speech and Hearing Services Audiologist CurrentSince May 12, 2021 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.

Verify at the official NPI Registry.