Individual provider Active NPI

Moira Anne Lawlor, PA-C

  • Physician Assistant
  • White River Junction, VT
National Provider Identifier
1992815534
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0546 Issued in NH
Practice address
215 N Main St
White River Junction, VT 05009-0001
Phone
(802) 295-9363
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0546 NH Primary

Addresses

Primary practice location

215 N Main St
White River Junction, VT 05009-0001

Mailing address

115 Pine Cliff Rd
Alstead, NH 03602-3817
Phone (603) 835-6946

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmcnh@gohnh.Allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20090610000357 NH Practitioner - Physician Assistant 9830249069 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0546NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Nov 1, 2017 Accepting new patients
Catholic Medical Center CurrentSince Nov 1, 2017 Accepting new patients

Locations

88 McGregor St
Ste 101B
Manchester, NH 03102
Phone (603) 663-6000

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

Interoperability endpoints

  • Direct secure messaging: cmcnh@gohnh.allscriptsdirect.net

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1992815534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PINE CLIFF RD",
            "city": "ALSTEAD",
            "state": "NH",
            "postal_code": "036023817",
            "telephone_number": "603-835-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050090001",
            "telephone_number": "802-295-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLOR",
        "first_name": "MOIRA",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmcnh@gohnh.Allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 McGregor St",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031023730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

Verify at the official NPI Registry.