Individual provider Active NPI

Emily Nicole Lawson, D.O.

  • Pediatrics Physician
  • Tucson, AZ
National Provider Identifier
1609280742
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OP61036209 Issued in WA
Practice address
826 W Placita Estrella Azul
Tucson, AZ 85713-1595
Phone
(425) 829-2840
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OP61036209 WA Primary
Pediatrics Physician 208000000X R2399 AZ

Addresses

Primary practice location

826 W Placita Estrella Azul
Tucson, AZ 85713-1595

Mailing address

826 W Placita Estrella Azul
Tucson, AZ 85713-1595
Phone (425) 829-2840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191001001105 CA Practitioner - Pediatric Medicine 5395013874 Reassigns benefits to 1 organization
I20201013001619 WA Practitioner - Pediatric Medicine 5395013874 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R2399AZMDPediatrics Physician
17423CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Family Medicine CurrentSince Sep 14, 2020 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Sep 14, 2020 Accepting new patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Jul 29, 2019 Accepting new patients
Multicare Health System Family Medicine Past Accepting new patients

Locations

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

Interoperability endpoints

  • Direct secure messaging: elawson497946@direct.multicare.org

Organizations & group practices 5

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1609280742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 W PLACITA ESTRELLA AZUL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857131595",
            "telephone_number": "425-829-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W PLACITA ESTRELLA AZUL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857131595",
            "telephone_number": "425-829-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "EMILY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "OP61036209",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "R2399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.