Individual provider Active NPI

Chaeli Lawson, CRNP

  • Gerontology Nurse Practitioner
  • Mountain BRK, AL
National Provider Identifier
1386036671
Registry record updated Dec 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-132481 Issued in AL
Practice address
6 Office Park Cir Ste 216
Mountain BRK, AL 35223-2677
Phone
(256) 453-3671
NPI assigned
Feb 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-132481 AL Primary

Addresses

Primary practice location

6 Office Park Cir Ste 216
Mountain BRK, AL 35223-2677

Mailing address

6 Office Park Cir Ste 216
Mountain BRK, AL 35223-2677
Phone (256) 453-3671

Other practice location 1

216 Aquarius Dr Ste 306
Birmingham, AL 35209-5863
Phone (205) 949-0400

Other practice location 2

1201 11th Ave S
Suite 305
Birmingham, AL 35205-3410
Phone (205) 996-2770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clawson@affinityhospice.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20150514000677 AL Practitioner - Nurse Practitioner 7315267390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifecare for SeniorsGroup PAC ID 4587005129, 2 clinicians

Practice addresses (Care Compare)

6 Office Park Cir
Suite 216
Mountain BRK, AL 35223-2677
Phone (205) 848-8400

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
  • Enhabit Home Health Home health agency, Troy, AL, CCN 017324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-132481ALMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare for Seniors CurrentSince May 1, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Mar 1, 2015 Accepting new patients
Nephrology Associates, PC CurrentSince Oct 17, 2022 Accepting new patients

Locations

817 Princeton Ave SW
Ste 206
Birmingham, AL 35211
Phone (205) 788-7572

1201 11th Ave S
Ste 305
Birmingham, AL 35205
Phone (205) 939-4939

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

6 Office Park Cir
Ste 216
Mountain Brk, AL 35223
Phone (205) 848-8400

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733011200000",
    "number": "1386036671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OFFICE PARK CIR STE 216",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232677",
            "telephone_number": "256-453-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OFFICE PARK CIR STE 216",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232677",
            "telephone_number": "256-453-3671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Aquarius Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352095863",
            "country_code": "US",
            "telephone_number": "205-949-0400",
            "fax_number": "205-949-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 11th Ave S",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352053410",
            "country_code": "US",
            "telephone_number": "205-996-2770",
            "fax_number": "205-996-2733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "CHAELI",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-132481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clawson@affinityhospice.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "216 Aquarius Dr Ste 306",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352095863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.