NPIMap

Individual provider Active NPI

Laura Nelson Lawson, DO

  • Family Medicine Physician
  • Winchester, VA
National Provider Identifier
1295869543
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102202773 Issued in VA
Practice address
230 Costello Dr Ste 210
Winchester, VA 22602-4686
Phone
(540) 450-5743
Fax
(540) 869-3524
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2007-00859 NC
Family Medicine Physician 207Q00000X 0102202773 VA Primary

Addresses

Primary practice location

230 Costello Dr Ste 210
Winchester, VA 22602-4686

Mailing address

230 Costello Dr Ste 210
Winchester, VA 22602-4686
Phone (540) 450-5743

Other practice location 1

10322 Bristow Center Dr
Bristow, VA 20136-2201
Phone (571) 284-4245

Other names 1

  • Laura Nelson Nelson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110601000447 VA Practitioner - Family Practice 9335231927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mission Functional Medicine PLLCGroup PAC ID 8921347972, 2 clinicians

Practice addresses (Care Compare)

158 Front Royal Pike
Suite 209
Winchester, VA 22602-4324
Phone (540) 247-8476

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2007-00859NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Affiliate Practice I LLC CurrentSince Jan 1, 2016 Accepting new patients
Mission Functional Medicine, PLLC Family Medicine CurrentSince Aug 25, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10322 Bristow Center Dr
Bristow, VA 20136
Phone (571) 284-4230

158 Front Royal Pike
Ste 209
Winchester, VA 22602
Phone (540) 247-8476

230 Costello Dr
Ste 210
Winchester, VA 22602
Phone (540) 247-8476

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCHIBD/Endpoint/BCHIBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295869543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 COSTELLO DR STE 210",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226024686",
            "telephone_number": "540-450-5743",
            "fax_number": "540-869-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 COSTELLO DR STE 210",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226024686",
            "telephone_number": "540-450-5743",
            "fax_number": "540-869-3524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10322 Bristow Center Dr",
            "address_purpose": "LOCATION",
            "city": "Bristow",
            "state": "VA",
            "postal_code": "201362201",
            "country_code": "US",
            "telephone_number": "571-284-4245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "LAURA",
        "middle_name": "NELSON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2023-03-07",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2007-00859",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102202773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "NELSON",
            "middle_name": "NELSON",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.