Individual provider Active NPI

Kimberly Christine Lawson, FNP-C

  • Family Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1215553458
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R131370 Issued in MD
Practice address
1741 Dual Hwy
Hagerstown, MD 21740-6624
Phone
(301) 790-0254
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R131370 MD Primary

Addresses

Primary practice location

1741 Dual Hwy
Hagerstown, MD 21740-6624

Mailing address

1741 Dual Hwy Ste a
Hagerstown, MD 21740-6626
Phone (301) 790-0254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200716003345 MD Practitioner - Nurse Practitioner 9234553769 Reassigns benefits to 2 organizations
I20250311000035 DC Practitioner - Nurse Practitioner 9234553769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians

Practice addresses (Care Compare)

14421 Baltimore Ave
Laurel, MD 20707-4949
Phone (240) 786-6684

1741 Dual Hwy
Hagerstown, MD 21740-6624
Phone (301) 790-0254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Maryland Current Accepting new patients
Medexpress Urgent Care, PC - Maryland CurrentSince Jun 18, 2020 Accepting new patients
CRH MD Management, LLC CurrentSince Mar 5, 2025 Accepting new patients
CRH MD Management LLC CurrentSince Mar 5, 2025 Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

1741 Dual Hwy
Hagerstown, MD 21740
Phone (301) 337-7749

1741 Dual Hwy
Ste A
Hagerstown, MD 21740
Phone (301) 790-0254

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1215553458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 DUAL HWY STE A",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406626",
            "telephone_number": "301-790-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 DUAL HWY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406624",
            "telephone_number": "301-790-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "KIMBERLY",
        "middle_name": "CHRISTINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R131370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.