Nastassja Lawrence

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

NV20222408600 Issued in NV

Practice address

5155 S Torrey Pines Dr Apt 2150
Las Vegas, NV 89118-0648

Phone

(626) 404-8471

NPI assigned

Apr 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Star Lite Behavioral Health LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Las Vegas, NV
  • NPI 1508506841

  Community Based Residential Treatment Facility, Mental Illness

  NPD Authorized official

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1952042293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 S TORREY PINES DR APT 2150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891180648",
            "telephone_number": "626-404-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 S TORREY PINES DR APT 2150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891180648",
            "telephone_number": "626-404-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "NASTASSJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NV",
            "license": "NV20222408600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Beatrice Lawrence
• Keyonna Denise Lawrence
• Lakrisha Lawrence
• Lillian Lawrence
• Makayla Lawrence
• Rashana Lawrence
• Rianna Lawrence
• Robert Lawrence
• Ronald Walter Lawrence, MFT
• Shanda Kay Lawrence

• Mental Illness Community Based Residential Treatment Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Illness Community Based Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.