Individual provider Active NPI

Nicole Lawson, NURSE PRACTITIONER

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1720828247
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1141204 Issued in TX
Practice address
PO Box 40491
Austin, TX 78704-0009
Phone
(585) 698-6963
NPI assigned
May 31, 2024
Last updated
May 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 353111 NY
Nurse Practitioner 363L00000X 1141204 TX Primary
Registered Nurse 163W00000X 711640 NY
Registered Nurse 163W00000X 1141204 TX

Addresses

Primary practice location

PO Box 40491
Austin, TX 78704-0009

Mailing address

PO Box 40491
Austin, TX 78704-0009
Phone (585) 698-6963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241223002192 TX Practitioner - Nurse Practitioner 9234666769 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
711640NYMDRegistered Nurse
1141204TXMDRegistered Nurse
353111NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Cancer Institute, PLLC CurrentSince Nov 18, 2024 Accepting new patients

Locations

11111 Research Blvd
Ste LL2
Austin, TX 78759
Phone (512) 334-2665

1400 N Interstate 35
Austin, TX 78701
Phone (512) 324-8987

3201 S Austin Ave
Ste 315
Georgetown, TX 78626
Phone (512) 302-1210

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": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1720828247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40491",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787040009",
            "telephone_number": "585-698-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 40491",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787040009",
            "telephone_number": "585-698-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "NICOLE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "353111",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1141204",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "711640",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1141204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.