Active NPI
Erika Bryean Watson-Lawson, MSH, RDN, LDN
- Nutritionist
- Jacksonville, FL
National Provider Identifier
1538940200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- ND4733
- Practice address
- 2308 Luana Dr E
Jacksonville, FL 32246-9563 - Phone
- (904) 476-8131
- NPI assigned
- Oct 10, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | ND4733 | FL | Primary |
Addresses
Primary practice location
2308 Luana Dr E
Jacksonville, FL 32246-9563
Mailing address
2308 Luana Dr E
Jacksonville, FL 32246-9563
Phone (904) 476-8131
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 |
|---|---|---|---|
| ND4733 | FL | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Registered Dietitian
- San Francisco, CA
- NPI 1104334465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1538940200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 LUANA DR E",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322469563",
"telephone_number": "904-476-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2308 LUANA DR E",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322469563",
"telephone_number": "904-476-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON-LAWSON",
"first_name": "ERIKA",
"middle_name": "BRYEAN",
"credential": "MSH, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-10",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FL",
"license": "ND4733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.