Active NPI
Pamela Stevens Lawson, FNP-BC
- Family Nurse Practitioner
- Johnson City, TN
National Provider Identifier
1366708604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2011020556
- Practice address
- 119 Boone Ridge Dr
Suite 102
Johnson City, TN 37615-4998 - Phone
- (423) 282-1480
- NPI assigned
- Apr 11, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2011020556 | TN | Primary |
| Family Nurse Practitioner | 363LF0000X | APN0000016562 | TN | |
| Family Nurse Practitioner | 363LF0000X | RN0000042173 | TN |
Addresses
Primary practice location
119 Boone Ridge Dr
Suite 102
Johnson City, TN 37615-4998
Mailing address
119 Boone Ridge Dr
Suite 102
Johnson City, TN 37615-4998
Phone (423) 282-1480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011020556 | Other | TN | FNP-BC |
| APN0000016562 | Other | TN | APN |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000042173 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizons Continence Management LLC | Past | Accepting new patients | |
| Sr Medical Services, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
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- NPI 1851523641
-
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- Caryville, TN
- NPI 1679718662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1366708604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 BOONE RIDGE DR",
"address_2": "SUITE 102",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376154998",
"telephone_number": "423-282-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 BOONE RIDGE DR",
"address_2": "SUITE 102",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376154998",
"telephone_number": "423-282-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "PAMELA",
"middle_name": "STEVENS",
"name_prefix": "Ms.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "2011020556",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000016562",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "RN0000042173",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP-BC",
"identifier": "2011020556",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN",
"identifier": "APN0000016562",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.