Organization Active NPI

Melaine C Lawrence MD

Doing business as Newbury Health Clinic PLLC

  • Family Medicine Physician
  • Newbury, VT
National Provider Identifier
1669792271
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
207Q00000X Issued in VT
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30209633MedicaidNH
1017789MedicaidVT

Other names 1

  • Newbury Health Clinic PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.