Active NPI
Derek Lawson
- Nurse Practitioner
- Bear, DE
National Provider Identifier
1487033445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LG-0000729
- Practice address
- 235 Rice Dr
Bear, DE 19701-1896 - Phone
- (302) 588-3618
- NPI assigned
- May 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | LG-0000729 | DE | Primary |
Addresses
Primary practice location
235 Rice Dr
Bear, DE 19701-1896
Mailing address
235 Rice Dr
Bear, DE 19701-1896
Phone (302) 588-3618
Other names 1
- Nurse Practitioner
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000729 | DE | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432339200000",
"number": "1487033445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 RICE DR",
"city": "BEAR",
"state": "DE",
"postal_code": "197011896",
"telephone_number": "302-588-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 RICE DR",
"city": "BEAR",
"state": "DE",
"postal_code": "197011896",
"telephone_number": "302-588-3618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "DEREK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-23",
"last_updated": "2015-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LG-0000729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NURSE",
"last_name": "PRACTITIONER",
"credential": "NP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Bear, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.