Individual provider Active NPI

Lynette Lawrence

  • Licensed Practical Nurse
  • Pine Bluff, AR
National Provider Identifier
1649073008
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L044779 Issued in AR
Practice address
2410 Rike Dr
Pine Bluff, AR 71603-3935
Phone
(870) 534-2035
NPI assigned
Mar 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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 L044779 AR Primary

Addresses

Primary practice location

2410 Rike Dr
Pine Bluff, AR 71603-3935

Mailing address

2410 Rike Dr
Pine Bluff, AR 71603-3935
Phone (870) 534-2035

Other practice location 1

2410 Rike Dr
Pine Bluff, AR 71603-3935
Phone (870) 534-2035

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
L044779ARMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Jenkins Housing Inc PastSince Apr 6, 2025 Accepting new patients
Jenkins Memorial Center & Jenkins Industries, Inc. PastSince Apr 6, 2025 Accepting new patients

Organizations & group practices 2

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": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1649073008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 RIKE DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716033935",
            "telephone_number": "870-534-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 RIKE DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716033935",
            "telephone_number": "870-534-2035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 Rike Dr",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716033935",
            "country_code": "US",
            "telephone_number": "870-534-2035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "LYNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L044779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.