Active NPI
Lawrence Blaine Shaffer III, M.D.
- Psychiatry Physician
- Lincoln, NE
National Provider Identifier
1629133285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 19495
- Practice address
- 301 Centennial Mall S
Lincoln, NE 68508-2529 - Phone
- (402) 471-7795
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 19495 | NE | Primary |
Addresses
Primary practice location
301 Centennial Mall S
Lincoln, NE 68508-2529
Mailing address
301 Centennial Mall S
Lincoln, NE 68508-2529
Phone (402) 471-7795
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19495 | NE | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186704000000",
"number": "1629133285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CENTENNIAL MALL S",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685082529",
"telephone_number": "402-471-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CENTENNIAL MALL S",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685082529",
"telephone_number": "402-471-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "LAWRENCE",
"middle_name": "BLAINE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NE",
"license": "19495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.