Individual provider Active NPI

Kathy J. Lawrence, ARNP

  • Adult Health Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1861978116
Registry record updated Oct 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9342717 Issued in FL
Practice address
3115 Citrus Tower Blvd Ste a
Clermont, FL 34711-6880
Phone
(352) 394-4237
Fax
(352) 394-6097
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9342717 FL Primary

Addresses

Primary practice location

3115 Citrus Tower Blvd Ste a
Clermont, FL 34711-6880

Mailing address

3115 Citrus Tower Blvd Ste a
Clermont, FL 34711-6880
Phone (352) 394-4237

Other practice location 1

465 Pomelo Ave
Tavares, FL 32778-3910
Phone (352) 360-5340

Other practice location 2

620 S Lake St Ste 2
Leesburg, FL 34748-6059
Phone (352) 314-6589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190111002332 FL Practitioner - Nurse Practitioner 6507102597 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9342717FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Health Services LLC Current Accepting new patients
Cornerstone Health Services LLC CurrentSince Nov 7, 2024 Accepting new patients

Locations

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

2445 Lane Park Rd
Tavares, FL 32778
Phone (866) 280-9355

12470 Telecom Dr
Ste 301
Temple Terrace, FL 33637
Phone (423) 707-8678

Organizations & group practices 2

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539388800000",
    "number": "1861978116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 CITRUS TOWER BLVD STE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116880",
            "telephone_number": "352-394-4237",
            "fax_number": "352-394-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 CITRUS TOWER BLVD STE A",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116880",
            "telephone_number": "352-394-4237",
            "fax_number": "352-394-6097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 Pomelo Ave",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327783910",
            "country_code": "US",
            "telephone_number": "352-360-5340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 S Lake St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347486059",
            "country_code": "US",
            "telephone_number": "352-314-6589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "KATHY",
        "middle_name": "J.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9342717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.