Active NPI
Michael James Lawson, ARNP
- Nurse Practitioner
- Port Charlotte, FL
National Provider Identifier
1043449960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9250725
- Practice address
- 2525 Harbor Blvd
Suite 102
Port Charlotte, FL 33952-5317 - Phone
- (941) 629-9190
- Fax
- (941) 625-2751
- NPI assigned
- Jul 13, 2009
- Last updated
- Feb 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9250725 | FL | Primary |
| Massage Therapist | 225700000X | MA30334 | FL |
Addresses
Primary practice location
2525 Harbor Blvd
Suite 102
Port Charlotte, FL 33952-5317
Mailing address
9779 Treasure Cay LN
Bonita Springs, FL 34135-6808
Phone (239) 949-2917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA30334 | FL | MD | Massage Therapist |
| ARNP9250725 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Pavilion Clinc | Past | Accepting new patients | |
| South Florida Medical Group Inc. | Past | Accepting new patients | |
| Sarasota Immediate Care Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Preferred Provider Organization
- Port Charlotte, FL
- NPI 1063671683
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1538239116
-
- Geriatric Medicine (Family Medicine) Physician
- Naples, FL
- NPI 1386855195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1043449960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9779 TREASURE CAY LN",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341356808",
"telephone_number": "239-949-2917",
"fax_number": "239-949-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 HARBOR BLVD",
"address_2": "SUITE 102",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525317",
"telephone_number": "941-629-9190",
"fax_number": "941-625-2751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-13",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9250725",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA30334",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.