Individual provider Active NPI

Nicole Anne McLawrence, MD

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1740627397
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A140993 Issued in CA
Practice address
1320 Celeste Drive
Modesto, CA 95355
Phone
(209) 527-6900
Fax
(209) 524-7328
NPI assigned
May 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A140993 CA Primary

Addresses

Primary practice location

1320 Celeste Drive
Modesto, CA 95355

Mailing address

1320 Celeste Drive
Modesto, CA 95355
Phone (209) 527-6900

Other names 1

  • Nicole Anne McLawrence Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170907001808 CA Practitioner - Family Practice 2769600329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1320 Celeste Dr
Modesto, CA 95355-2402
Phone (209) 527-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A140993CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Medical Group of Modesto a Professional Corp Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Golden Valley Health Center Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients

Locations

1320 Celeste Dr
Modesto, CA 95355
Phone (209) 527-6900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGEHCD

Organizations & group practices 4

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": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1740627397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CELESTE DRIVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-527-6900",
            "fax_number": "209-524-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CELESTE DRIVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-527-6900",
            "fax_number": "209-524-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAWRENCE",
        "first_name": "NICOLE",
        "middle_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A140993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MCLAWRENCE",
            "middle_name": "ANNE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.