Individual provider Active NPI

Debbie Renee Lawrence, APRN

  • Family Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1669614889
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A006020 Issued in AR
Practice address
3345 39TH St S Ste 1
Fargo, ND 58104-7539
Phone
(877) 522-1275
NPI assigned
Apr 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A006020 AR Primary

Addresses

Primary practice location

3345 39TH St S Ste 1
Fargo, ND 58104-7539

Mailing address

1661 Airport Rd Ste D
Hot Springs, AR 71913-8184
Phone (501) 625-7500

Other identifiers 1

IdentifierTypeStateIssuer
A006020OtherARASBN CNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NM, WA3 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200129002454 AR Practitioner - Nurse Practitioner 0547696130 Reassigns benefits to 2 organizations
I20211005002971 NM Practitioner - Nurse Practitioner 0547696130 Reassigns benefits to 1 organization
I20220201000971 WA Practitioner - Nurse Practitioner 0547696130 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC CurrentSince Jan 2, 2020 Accepting new patients
Signify Health, LLC CurrentSince Mar 31, 2024 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Current Accepting new patients
Healthstar Physicians of Hot Springs, PLLC CurrentSince Jan 2, 2020 Accepting new patients

Locations

1661 Airport Rd
Ste D
Hot Springs National Park, AR 71913
Phone (501) 547-5718

1661 Airport Rd
Ste F
Hot Springs National Park, AR 71913
Phone (501) 651-4300

1629 Airport Rd
Ste B
Hot Springs National Park, AR 71913
Phone (501) 767-0075

1517 S Main St
Malvern, AR 72104
Phone (501) 332-7525

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

Interoperability endpoints

  • Direct secure messaging: debbie.lawrence.1@26646.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1669614889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 AIRPORT RD STE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719138184",
            "telephone_number": "501-625-7500",
            "fax_number": "501-625-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 39TH ST S STE 1",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047539",
            "telephone_number": "877-522-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "DEBBIE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A006020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASBN CNP LICENSE",
            "identifier": "A006020",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.