Haley Isham Lawson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

6900 Alden Dr BLDG 160
Fe Warren Afb, WY 82005-3913

Phone

(920) 573-2944

NPI assigned

Jan 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1164136222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 ALDEN DR BLDG 160",
            "city": "FE WARREN AFB",
            "state": "WY",
            "postal_code": "820053913",
            "telephone_number": "920-573-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ALDEN DR BLDG 160",
            "city": "FE WARREN AFB",
            "state": "WY",
            "postal_code": "820053913",
            "telephone_number": "920-573-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "HALEY",
        "middle_name": "ISHAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Lynn Keithley, RD, LD
• Brooke R Kibel, OD, FAAO
• Vance Knauer, DMD
• Mallory Ann Krueger, DO
• Hallie Denise Landreth, PH D
• Lisa Sung Eun Lee, PHARM D
• Shannon Freshwater Long, PA-C
• Brian Gregory Lusk, DDS
• Jeanette Joan Lynch, LCSW
• Nicholas Robin Marshall, MSW

• Physician Assistant in Fe Warren Afb, WY
• Providers in Fe Warren Afb, WY by specialty
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.