Individual provider Active NPI

Kayla Elizabeth Dawson, FNP

  • Family Nurse Practitioner
  • Steelville, MO
National Provider Identifier
1356855084
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017021760 Issued in MO
Practice address
510 W Main St
Steelville, MO 65565
Phone
(573) 775-4600
Fax
(573) 775-4602
NPI assigned
Nov 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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 2017021760 MO Primary

Addresses

Primary practice location

510 W Main St
Steelville, MO 65565

Mailing address

510 W Main St
Steelville, MO 65565
Phone (573) 775-4600

Other practice location 1

102 Ozark Dr Ste B
Cuba, MO 65453-1664
Phone (573) 885-6600

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20180706001797 MO Practitioner - Nurse Practitioner 7911253893 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vohra Wound Physicians of FL LLCGroup PAC ID 6406039882, 73 clinicians
Missouri Baptist Hospital of SullivanGroup PAC ID 2668380148, shared by 8 NPIs, 40 clinicians

Practice addresses (Care Compare)

1024 Adams St
Jefferson City, MO 65101-3408
Phone (573) 635-1320

311 N Spring St
Steelville, MO 65565-5089
Phone (573) 260-8850

510 W Main
Steelville, MO 65565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Baptist Hospital of Sullivan CurrentSince Apr 29, 2018 Accepting new patients
Missouri Baptist Hospital of Sullivan CurrentSince Apr 29, 2018 Accepting new patients
Missouri Baptist Hospital of Sullivan CurrentSince Aug 8, 2018 Accepting new patients
Missouri Baptist Hospital of Sullivan Current Accepting new patients
Missouri Baptist Hospital of Sullivan Past Accepting new patients

Locations

102 Ozark Dr
#B
Cuba, MO 65453
Phone (573) 860-6600

510 W Main St
Steelville, MO 65565
Phone (573) 468-4186

965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

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": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1356855084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W MAIN ST",
            "city": "STEELVILLE",
            "state": "MO",
            "postal_code": "65565",
            "telephone_number": "573-775-4600",
            "fax_number": "573-775-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W MAIN ST",
            "city": "STEELVILLE",
            "state": "MO",
            "postal_code": "65565",
            "telephone_number": "573-775-4600",
            "fax_number": "573-775-4602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Ozark Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Cuba",
            "state": "MO",
            "postal_code": "654531664",
            "country_code": "US",
            "telephone_number": "573-885-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "KAYLA",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017021760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "510 W Main St",
            "city": "Steelville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "65565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Steelville, MO

Sources for this page

Verify at the official NPI Registry.