Individual provider Active NPI

Lorrie June Dawson, BS,MS,PHD, ARNP-BC

  • Nurse Practitioner
  • Inchelium, WA
National Provider Identifier
1245248384
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30006750 Issued in WA
Practice address
39 Shortcut Road
Inchelium, WA 99138
Phone
(509) 722-7006
Fax
(509) 722-7021
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30006750 WA Primary

Addresses

Primary practice location

39 Shortcut Road
Inchelium, WA 99138

Mailing address

39 Shortcut Road
PO Box 290
Inchelium, WA 99138
Phone (509) 722-7006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180316000086 TX Practitioner - Nurse Practitioner 1153478896 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Master of Science, Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AP30006750WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colville Nation Community Health Centers Current Accepting new patients

Organizations & group practices 1

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1245248384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SHORTCUT ROAD",
            "address_2": "PO BOX 290",
            "city": "INCHELIUM",
            "state": "WA",
            "postal_code": "99138",
            "telephone_number": "509-722-7006",
            "fax_number": "509-722-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SHORTCUT ROAD",
            "city": "INCHELIUM",
            "state": "WA",
            "postal_code": "99138",
            "telephone_number": "509-722-7006",
            "fax_number": "509-722-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "LORRIE",
        "middle_name": "JUNE",
        "credential": "BS,MS,PHD, ARNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30006750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inchelium, WA

Sources for this page

Verify at the official NPI Registry.