Active NPI
Trista Rawlings Lawrence, LMP
- Specialist
- Blaine, WA
National Provider Identifier
1780805507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00012980
- Practice address
- 477 Peace Portal Drive
Suite 5B
Blaine, WA 98230 - Phone
- (360) 332-8000
- Fax
- (360) 371-4085
- NPI assigned
- May 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA00012980 | WA | Primary |
Addresses
Primary practice location
477 Peace Portal Drive
Suite 5B
Blaine, WA 98230
Mailing address
PO Box 2647
Blaine, WA 98231
Phone (360) 332-8000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140125 | Other | WA | L&I PROVIDER # |
| 1236RA | Other | WA | ADDITIONAL RBS PROVIDER N |
| 1714RA | Other | WA | RBS PROVIDER NUMBER |
Other names 1
- Trista Rawlings
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00012980 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780805507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2647",
"city": "BLAINE",
"state": "WA",
"postal_code": "98231",
"telephone_number": "360-332-8000",
"fax_number": "360-371-4085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "477 PEACE PORTAL DRIVE",
"address_2": "SUITE 5B",
"city": "BLAINE",
"state": "WA",
"postal_code": "98230",
"telephone_number": "360-332-8000",
"fax_number": "360-371-4085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "TRISTA",
"middle_name": "RAWLINGS",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00012980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PROVIDER #",
"identifier": "140125",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADDITIONAL RBS PROVIDER N",
"identifier": "1236RA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBS PROVIDER NUMBER",
"identifier": "1714RA",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRISTA",
"last_name": "RAWLINGS",
"credential": "LMP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Blaine, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.