Active NPI
Dawn L Lovelace, ARNP, CNM
- Nurse Practitioner
- Grand Coulee, WA
National Provider Identifier
1295721058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30003466
- Practice address
- 411 Fortuyn Rd
Grand Coulee, WA 99133-8718 - Phone
- (509) 633-1753
- Fax
- (509) 633-1930
- NPI assigned
- Sep 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00096633 | WA | |
| Nurse Practitioner | 363L00000X | AP30003466 | WA | Primary |
| Advanced Practice Midwife | 367A00000X | AP30003466 | WA |
Addresses
Primary practice location
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Mailing address
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1753
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133949 | Other | WA | LABOR AND INDUSTRIES |
| 9614629 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00096633 | WA | MD | Registered Nurse |
| AP30003466 | WA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1295721058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 FORTUYN RD",
"city": "GRAND COULEE",
"state": "WA",
"postal_code": "991338718",
"telephone_number": "509-633-1753",
"fax_number": "509-633-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 FORTUYN RD",
"city": "GRAND COULEE",
"state": "WA",
"postal_code": "991338718",
"telephone_number": "509-633-1753",
"fax_number": "509-633-1930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELACE",
"first_name": "DAWN",
"middle_name": "L",
"credential": "ARNP, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00096633",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30003466",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP30003466",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "133949",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9614629",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Coulee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.