Individual provider Active NPI

Emily J Lawrance, MS, RD, LD, CDE

  • Registered Dietitian
  • Tulsa, OK
National Provider Identifier
1861867434
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1918 Issued in OK
Practice address
2000 S Wheeling Ave Ste 920
Tulsa, OK 74104
Phone
(918) 947-5980
Fax
(918) 746-2230
NPI assigned
Dec 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1918 OK Primary
Registered Dietitian 133V00000X 1802 AR

Addresses

Primary practice location

2000 S Wheeling Ave Ste 920
Tulsa, OK 74104

Mailing address

2000 S Wheeling Ave Ste 920
Tulsa, OK 74104-5649
Phone (918) 947-5980

Other practice location 1

1717B S Utica Ave Ste 205
Tulsa, OK 74104-5332
Phone (918) 744-3623

Other practice location 2

5414 W Pinnacle Pointe Dr Ste 300
Rogers, AR 72758-8956
Phone (479) 268-4979

Other identifiers 3

IdentifierTypeStateIssuer
1802OtherARLICENSED DIETICIAN - AR
1918OtherOKLICENSED DIETICIAN - OK
200689180AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170925000777 OK Practitioner - Registered Dietitian Or Nutrition Professional 7517231921 Reassigns benefits to 1 organization
I20180906003393 AR Practitioner - Registered Dietitian Or Nutrition Professional 7517231921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Perinatal Center, PLLCGroup PAC ID 1153302120, 14 clinicians

Practice addresses (Care Compare)

4140 W Memorial Rd
Suite 321
Oklahoma City, OK 73120-8300
Phone (405) 748-4726

5414 W Pinnacle Pointe Dr
Suite 300
Rogers, AR 72758-8956
Phone (405) 748-4726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1802ARMDRegistered Dietitian
1918OKMDRegistered Dietitian

Interoperability endpoints

  • Direct secure messaging: perinatalcenterofoklahoma.emilylawrance@111704.advancedmd-direct.com

Organizations & group practices 1

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": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1861867434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 920",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045649",
            "telephone_number": "918-947-5980",
            "fax_number": "918-746-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 920",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-947-5980",
            "fax_number": "918-746-2230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717B S Utica Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741045332",
            "country_code": "US",
            "telephone_number": "918-744-3623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5414 W Pinnacle Pointe Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588956",
            "country_code": "US",
            "telephone_number": "479-268-4979",
            "fax_number": "479-268-4998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRANCE",
        "first_name": "EMILY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1918",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1802",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETICIAN - AR",
            "identifier": "1802",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETICIAN - OK",
            "identifier": "1918",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200689180A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.