Individual provider Active NPI

Lyn Ann Dawson, CNP

  • Acute Care Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1568643146
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R41741 Issued in NM
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

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CS00213187OtherNMCONTROLLED 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080415000173 NM Practitioner - Nurse Practitioner 0749368835 Reassigns benefits to 1 organization

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
Lovelace Unm Rehabilitation Hospital, LLCGroup PAC ID 5799061917, 24 clinicians

Practice addresses (Care Compare)

500 Walter St NE
Suite 213
Albuquerque, NM 87102-2543
Phone (505) 727-7177

Hospital & facility affiliations

  • Lovelace Medical Center Hospital, Albuquerque, NM, CCN 320009
  • Lovelace Women'S Hospital Hospital, Albuquerque, NM, CCN 320017
  • Lovelace Westside Hospital Hospital, Albuquerque, NM, CCN 320074
  • Lovelace Unm Rehabilitation Hospital Inpatient rehabilitation facility, Albuquerque, NM, CCN 323028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R41741NMMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lovelace Unm Rehabilitation Hospital, LLC CurrentSince May 1, 2022 Accepting new patients
Lovelace Unm Rehabilitation Hospital LLC CurrentSince May 1, 2022 Accepting new patients
Kenneth C. Lewis MD,LLC PastSince Jul 3, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.