Active NPI
Melaine C Lawrence MD
Doing business as Newbury Health Clinic PLLC
- Family Medicine Physician
- Newbury, VT
National Provider Identifier
1669792271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 207Q00000X
- Legal business name
- MELAINE C LAWRENCE MD
- Doing business as
- Newbury Health Clinic PLLC
- Practice address
- 4628 Main Street
Newbury, VT 05051-9775 - Phone
- (802) 866-3000
- Fax
- (802) 866-3012
- NPI assigned
- Jun 4, 2010
- Last updated
- Nov 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melaine C Lawrence, MD
- Title
- Owner
- Phone
- (802) 866-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 207Q00000X | VT | Primary |
Addresses
Primary practice location
4628 Main Street
Newbury, VT 05051-9775
Mailing address
PO Box 37
Newbury, VT 05051-0037
Phone (802) 866-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30209633 | Medicaid | NH | |
| 1017789 | Medicaid | VT |
Other names 1
- Newbury Health Clinic PLLC
National Provider Directory
National Provider DirectoryLocations
4628 Main St S
Newbury, VT 05051
Phone (802) 866-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289260800000",
"number": "1669792271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37",
"city": "NEWBURY",
"state": "VT",
"postal_code": "050510037",
"telephone_number": "802-866-3000",
"fax_number": "802-866-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4628 MAIN STREET",
"city": "NEWBURY",
"state": "VT",
"postal_code": "050519775",
"telephone_number": "802-866-3000",
"fax_number": "802-866-3012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELAINE C LAWRENCE MD",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-04",
"last_updated": "2010-11-09",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "MELAINE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "802-866-3000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "207Q00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30209633",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1017789",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Newbury Health Clinic PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newbury, VT
- Susan Hanewald, LCSW
- Melanie Lawrence, M.D.
- Allison Jean Line-Andrews, LICSW
- Little Rivers Health Care, Inc.
- Little Rivers Health Care, Inc. (Little Rivers Health Care)
- Oxbow Senior Independence Program, Inc.
- Renee Lynne Schulze (Newbury Family Counseling Services)
- Renee Lynne Schulze, LCSW
- Susan P Hanewald
- Stacy June Wayland, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.