Individual provider Active NPI

Ryan Lawson, APRN-CNP

  • Family Nurse Practitioner
  • Noel, MO
National Provider Identifier
1609450782
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021025113 Issued in MO
Practice address
125 Main St
Noel, MO 64854-9124
Phone
(417) 475-6151
Fax
(417) 475-6559
NPI assigned
May 5, 2021
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201929 OK
Family Nurse Practitioner 363LF0000X 2021025113 MO Primary

Addresses

Primary practice location

125 Main St
Noel, MO 64854-9124

Mailing address

66691 E 280 Rd
Grove, OK 74344-6279

Other practice location 1

10119 E 80th St Ste B
Tulsa, OK 74133-3407
Phone (918) 994-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20210721001660 MO Practitioner - Nurse Practitioner 9436552924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sgoh Acquisition IncGroup PAC ID 5092616276, 95 clinicians

Practice addresses (Care Compare)

109 N Broadway St
South West City, MO 64863-9417
Phone (417) 762-3287

125 Main St
Noel, MO 64854-9124
Phone (417) 475-6151

1355 Rocketdyne Rd
Neosho, MO 64850-3106
Phone (417) 451-7425

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021025113MOMDFamily Nurse Practitioner
201929OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sgoh Acquisition Inc CurrentSince Jul 19, 2021 Accepting new patients
Priority Health Care LLC CurrentSince Sep 1, 2022 Accepting new patients
Sgoh Acquisition Inc CurrentSince Jul 19, 2021 Accepting new patients
Sgoh Acquisition Inc Past Accepting new patients
Sgoh Acquisition, Inc. Past Accepting new patients

Locations

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

106 S Hickory St
Mount Vernon, MO 65712
Phone (417) 466-4110

125 Main St
Noel, MO 64854
Phone (417) 475-6151

10119 E 80th St
Ste B
Tulsa, OK 74133
Phone (918) 994-6363

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1609450782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66691 E 280 RD",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743446279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIN ST",
            "city": "NOEL",
            "state": "MO",
            "postal_code": "648549124",
            "telephone_number": "417-475-6151",
            "fax_number": "417-475-6559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10119 E 80th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741333407",
            "country_code": "US",
            "telephone_number": "918-994-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "RYAN",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "201929",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021025113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noel, MO

Sources for this page

Verify at the official NPI Registry.