Individual provider Active NPI

Christin Lawrence, D.O.

  • Student in an Organized Health Care Education/Training Program
  • Ann Arbor, MI
National Provider Identifier
1912317389
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
5101021068 Issued in MI
Practice address
C&W Mott, 1540 E Medical Center Dr
8-621
Ann Arbor, MI 48109-0100
Phone
(734) 232-0334
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5101021068 MI
Student in an Organized Health Care Education/Training Program 390200000X 5101021068 MI Primary

Addresses

Primary practice location

C&W Mott, 1540 E Medical Center Dr
8-621
Ann Arbor, MI 48109-0100

Mailing address

C&W Mott Hospital, 1540 E Medical Center Dr
8-621
Ann Arbor, MI 48109-0100
Phone (734) 232-0334

Other practice location 1

22201 Moross Rd
PB2 Suite 70
Detroit, MI 48236-2169
Phone (313) 343-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200814000713 MI Practitioner - Pediatric Medicine 2062838576 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101021068MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group Hospital -Based Services CurrentSince Aug 31, 2020 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

3601 W 13 Mile Rd
Ofc
Royal Oak, MI 48073
Phone (248) 551-3000

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

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": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912317389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C&W MOTT HOSPITAL, 1540 E MEDICAL CENTER DR",
            "address_2": "8-621",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481090100",
            "telephone_number": "734-232-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C&W MOTT, 1540 E MEDICAL CENTER DR",
            "address_2": "8-621",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481090100",
            "telephone_number": "734-232-0334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22201 Moross Rd",
            "address_2": "PB2 Suite 70",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482362169",
            "country_code": "US",
            "telephone_number": "313-343-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "CHRISTIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101021068",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5101021068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.