Jacqueline Yvonne Lawson

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

96006087RN Issued in OR

Practice address

887 Main St
Dallas, OR 97338-3110

Phone

(503) 623-4440

NPI assigned

Dec 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• David Michael Lawson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1326634304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 MAIN ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973383110",
            "telephone_number": "503-623-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 MAIN ST",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973383110",
            "telephone_number": "503-623-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "JACQUELINE",
        "middle_name": "YVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "OR",
            "license": "96006087RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "LAWSON",
            "middle_name": "MICHAEL",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Allison Lafountain, BA QMHA
• Matthew Bryant Lake, DMD
• Rebecka Langley
• Sue Larsen, MA, MFT
• Steven A Latulippe, M.D.
• Sylvia Joy Lawson, RN
• Lara Lee-Reavis, OTR/L
• Brian Lee, MC, LSC
• Chelsea Ruhoff Lee, PA-C
• Michael Lee

• Diabetes Educator Registered Nurse in Dallas, OR
• Providers in Dallas, OR by specialty
• Diabetes Educator Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.