Individual provider Active NPI

Dawn Conwright, CPNP

  • Pediatric Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1558720045
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP129390 Issued in TX
Practice address
2505 79TH St Ste B
Lubbock, TX 79423-2211
Phone
(806) 300-8228
Fax
(806) 300-8223
NPI assigned
Feb 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP129390 TX Primary

Addresses

Primary practice location

2505 79TH St Ste B
Lubbock, TX 79423-2211

Mailing address

2505 79TH St Ste B
Lubbock, TX 79423-2211
Phone (806) 300-8228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170127000639 TX Practitioner - Nurse Practitioner 2769780485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Developmental Pediatrics, PLLCGroup PAC ID 7517457146, 3 clinicians

Practice addresses (Care Compare)

2403 82ND St
Lubbock, TX 79423-2300
Phone (806) 300-8228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Doctor of Medicine, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Developmental Pediatrics, PLLC CurrentSince Jul 7, 2022 Accepting new patients

Locations

2403 82nd St
Lubbock, TX 79423
Phone (806) 300-8228

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.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1558720045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 79TH ST STE B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232211",
            "telephone_number": "806-300-8228",
            "fax_number": "806-300-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 79TH ST STE B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232211",
            "telephone_number": "806-300-8228",
            "fax_number": "806-300-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWRIGHT",
        "first_name": "DAWN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP129390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.