Individual provider Active NPI

Andrew Dawson

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1285105080
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024027 Issued in OH
Practice address
883 Boardman Canfield Rd Ste 105
Youngstown, OH 44512
Phone
(330) 953-1964
NPI assigned
Dec 6, 2018
Last updated
Feb 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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 APRN.CNP.024027 OH Primary

Addresses

Primary practice location

883 Boardman Canfield Rd Ste 105
Youngstown, OH 44512

Mailing address

883 Boardman Canfield Rd Ste 105
Youngstown, OH 44512-4216
Phone (330) 953-1964

Other practice location 1

8440 Market St
Youngstown, OH 44512-6703
Phone (330) 550-6400

Other practice location 2

8440 Market St
Youngstown, OH 44512-6703
Phone (330) 550-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190403002114 OH Practitioner - Nurse Practitioner 7719228584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6426 Market St
Boardman, OH 44512-3434
Phone (330) 406-9973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Care Counseling LLC CurrentSince Oct 30, 2021 Accepting new patients
Avad Care LLC CurrentSince Aug 5, 2024 Accepting new patients

Locations

3292 Stones Throw Ave
Youngstown, OH 44514
Phone (330) 707-0771

6426 Market St
Youngstown, OH 44512
Phone (330) 406-9973

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1285105080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 BOARDMAN CANFIELD RD STE 105",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124216",
            "telephone_number": "330-953-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 BOARDMAN CANFIELD RD STE 105",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44512",
            "telephone_number": "330-953-1964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8440 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445126703",
            "country_code": "US",
            "telephone_number": "330-550-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8440 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445126703",
            "country_code": "US",
            "telephone_number": "330-550-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-06",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.