Individual provider Active NPI

David Karmue Lawor Jr., RN, BSN,CCRN

  • Registered Nurse
  • Blaine, MN
National Provider Identifier
1386440956
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2475418 Issued in MN
Practice address
1145 116TH Ave NE Apt 130
Blaine, MN 55434-5405
Phone
(612) 868-3840
NPI assigned
Feb 24, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 2475418 MN
Registered Nurse 163W00000X 2475418 MN Primary

Addresses

Primary practice location

1145 116TH Ave NE Apt 130
Blaine, MN 55434-5405

Mailing address

1145 116TH Ave NE Apt 130
Blaine, MN 55434-5405
Phone (612) 868-3840

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
2475418MNMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1386440956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 116TH AVE NE APT 130",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554345405",
            "telephone_number": "612-868-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 116TH AVE NE APT 130",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554345405",
            "telephone_number": "612-868-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWOR",
        "first_name": "DAVID",
        "middle_name": "KARMUE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN, BSN,CCRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2475418",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2475418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.