LA TANYA LAWRENCE AS - NPI 1104121102 - Nurse Practitioner in Saint Louis, MO

Q: What is La Tanya Lawrence's NPI number?

The NPI number for La Tanya Lawrence is 1104121102. It was assigned to this individual provider in the NPPES registry on January 21, 2011.

Q: What is La Tanya Lawrence's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for La Tanya Lawrence was last updated on April 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About La Tanya Lawrence As NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA TANYA LAWRENCE AS (NPI 1104121102) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2019005430) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1104121102

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLA TANYA LAWRENCECredential: AS

Location Address175 N OAKS PLZSaint Louis, MO 63121-2925

Mailing Address175 N Oaks PlzSaint Louis, MO 63121-2925 · (314) 391-9777 · Fax (314) 390-5404

Phone(314) 391-9777

Fax(314) 390-5404

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 21, 2011

Last NPPES UpdateApril 9, 20253 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1104121102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2019005430

175 N OAKS PLZ, Saint Louis, MO 63121

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Other Identifiers 1

OtherG9011663MO · United Health Plus Insurance

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Tanya Lawrence As is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163743071

PECOS Enrollment IDI20260225001823

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALWAT SHAMI M.D.

Internal Medicine