Tanisha Lawrence

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

571686 Issued in AZ

Practice address

8705 W Morten Ave
Glendale, AZ 85305-3944

Phone

(623) 210-5169

Fax

(602) 455-4624

NPI assigned

Feb 27, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avid Support Resources LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Glendale, AZ
  • NPI 1275277667
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1881863579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 W OREGON AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853035547",
            "telephone_number": "623-210-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8705 W MORTEN AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053944",
            "telephone_number": "623-210-5169",
            "fax_number": "602-455-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "TANISHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "AZ",
            "license": "571686",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "AZ",
            "license": "571686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lannery Sioeli Lauvao, MD
• Patricia Lavallee, C.A.G.S
• Lavender Foundation of Love
• J. Mark Lavoy, DDS
• Caitlyn Marie Lawhorn
• Aaron Dennis Laws, D.M.D.
• Andrew Lawson, LMFT; LIAC
• Michele Lawson
• Nicholas Lawson, M.S., BCBA, LBA
• Suzan Lawton

• Foster Care Agency in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Foster Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.