Individual provider Active NPI

Marilyn Patricia Hall Lawrence

  • Licensed Practical Nurse
  • Springfield Gardens, NY
National Provider Identifier
1629487418
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
318754 Issued in NY
Practice address
21921 143Rd Rd
Springfield Gardens, NY 11413-3114
Phone
(646) 619-7625
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 318754 NY Primary

Addresses

Primary practice location

21921 143Rd Rd
Springfield Gardens, NY 11413-3114

Mailing address

21921 143Rd Rd
Springfield Gardens, NY 11413-3114
Phone (646) 619-7625

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
318754NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1629487418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21921 143RD RD",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133114",
            "telephone_number": "646-619-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21921 143RD RD",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133114",
            "telephone_number": "646-619-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL LAWRENCE",
        "first_name": "MARILYN",
        "middle_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "318754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.