Active NPI
Lessley Lawson, FNP
- Family Nurse Practitioner
- Memphis, TN
National Provider Identifier
1629604566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 27805
- Practice address
- 1213 Ridgeway Rd Ste 104
Memphis, TN 38119-5316 - Phone
- (901) 509-8205
- Fax
- (901) 509-8708
- NPI assigned
- Mar 22, 2020
- Last updated
- May 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 27805 | TN | Primary |
| Registered Nurse | 163W00000X | 137499 | TN |
Addresses
Primary practice location
1213 Ridgeway Rd Ste 104
Memphis, TN 38119-5316
Mailing address
319 Claire Dr
Atoka, TN 38004-7718
Phone (901) 626-9022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050977 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Atoka | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137499 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tristate OBGYN, PC | Current | Accepting new patients | |
| Jayanta K Dirghangi MD PC | Past | Accepting new patients |
Locations
3337 Kirby Pkwy
Memphis, TN 38115
Phone (901) 362-1931
Organizations & group practices 2
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.
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- Memphis, TN
- NPI 1104274091
-
- Obstetrics & Gynecology Physician
- Germantown, TN
- NPI 1992181671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1629604566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 CLAIRE DR",
"city": "ATOKA",
"state": "TN",
"postal_code": "380047718",
"telephone_number": "901-626-9022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 RIDGEWAY RD STE 104",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195316",
"telephone_number": "901-509-8205",
"fax_number": "901-509-8708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "LESSLEY",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-22",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "27805",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "137499",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050977",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Atoka",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Atoka",
"address_1": "319 Claire Dr",
"city": "Atoka",
"state": "TN",
"country_code": "US",
"postal_code": "380047718",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.