Active NPI
Lyn Ann Dawson, CNP
- Acute Care Nurse Practitioner
- Rio Rancho, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R41741
- Practice address
- 914 Pinehurst Rd SE
Suite 102
Rio Rancho, NM 87124-2219 - Phone
- (505) 896-9412
- Fax
- (505) 896-2505
- NPI assigned
- Nov 24, 2007
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R41741 | NM | Primary |
Addresses
Primary practice location
914 Pinehurst Rd SE
Suite 102
Rio Rancho, NM 87124-2219
Mailing address
914 Pinehurst Rd SE
Suite 102
Rio Rancho, NM 87124-2219
Phone (505) 896-9412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS00213187 | Other | NM | CONTROLLED SUBSTANCE LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Walter St NE
Suite 213
Albuquerque, NM 87102-2543
Phone (505) 727-7177
Hospital & facility affiliations
- Lovelace Medical Center
- Lovelace Women'S Hospital
- Lovelace Westside Hospital
- Lovelace Unm Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R41741 | NM | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lovelace Unm Rehabilitation Hospital, LLC | Current | Accepting new patients | |
| Lovelace Unm Rehabilitation Hospital LLC | Current | Accepting new patients | |
| Kenneth C. Lewis MD,LLC | Past | Accepting new patients |
Locations
500 Walter St NE
Ste 213
Albuquerque, NM 87102
Phone (505) 250-7361
505 Elm St NE
Albuquerque, NM 87102
Phone (505) 727-4700
4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360
Interoperability endpoints
- ldawson575100@ahs.direct-ci.com
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.
-
- Rehabilitation Hospital
- Albuquerque, NM
- NPI 1700325677
-
- Clinic/Center
- Rio Rancho, NM
- NPI 1215411814
-
- Pain Medicine (Anesthesiology) Physician
- Grand Junction, CO
- NPI 1912639642
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1306914213
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1649373887
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1982799375
-
- Rehabilitation Hospital
- Albuquerque, NM
- NPI 1700325677
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1568643146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 PINEHURST RD SE",
"address_2": "SUITE 102",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871242219",
"telephone_number": "505-896-9412",
"fax_number": "505-896-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 PINEHURST RD SE",
"address_2": "SUITE 102",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871242219",
"telephone_number": "505-896-9412",
"fax_number": "505-896-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "LYN",
"middle_name": "ANN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-24",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NM",
"license": "R41741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE LIC",
"identifier": "CS00213187",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.