Individual provider Active NPI

Nichole Lawson

  • Acute Care Nurse Practitioner
  • Covington, KY
National Provider Identifier
1619342680
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
COA-18427-NP Issued in OH
Practice address
50 E Rivercenter Blvd Ste 434
Covington, KY 41011-1660
Phone
(833) 358-2278
NPI assigned
Dec 2, 2015
Last updated
Oct 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3012438 KY
Acute Care Nurse Practitioner 363LA2100X COA-18427-NP OH Primary

Addresses

Primary practice location

50 E Rivercenter Blvd Ste 434
Covington, KY 41011-1660

Mailing address

5151 Pfeiffer Rd
Blue Ash, OH 45242-4872
Phone (937) 298-9331

Other practice location 1

5151 Pfeiffer Rd
Blue Ash, OH 45242
Phone (833) 358-2113

Other practice location 2

5151 Pfeiffer Rd
Blue Ash, OH 45242
Phone (833) 358-2113

Other identifiers 1

IdentifierTypeStateIssuer
0165371MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160405001319 OH Order and Referring Only - Nurse Practitioner 5799082863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3012438KYMDAcute Care Nurse Practitioner
COA-18427-NPOHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC PastSince Sep 29, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nguerrero553018@direct.ketteringhealth.org

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

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1619342680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 PFEIFFER RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424872",
            "telephone_number": "937-298-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E RIVERCENTER BLVD STE 434",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410111660",
            "telephone_number": "833-358-2278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 Pfeiffer Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "45242",
            "country_code": "US",
            "telephone_number": "833-358-2113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5151 Pfeiffer Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "45242",
            "country_code": "US",
            "telephone_number": "833-358-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "NICHOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3012438",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA-18427-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165371",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, KY

Sources for this page

Verify at the official NPI Registry.