Individual provider Active NPI

Lessley Lawson, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1629604566
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27805 Issued in TN
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2021

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 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

IdentifierTypeStateIssuer
050977MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
137499TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tristate OBGYN, PC CurrentSince Oct 1, 2020 Accepting new patients
Jayanta K Dirghangi MD PC PastSince Oct 1, 2020 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.

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.

Verify at the official NPI Registry.