Active NPI
Dawson Krain Lopez, WHNP-BC, A-GPCNP-C
- Adult Health Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP8005
- Practice address
- 12635 W Rudasill Rd
Tucson, AZ 85743-9724 - Phone
- (520) 682-3777
- Fax
- (520) 682-2333
- NPI assigned
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP8005 | AZ | |
| Adult Health Nurse Practitioner | 363LA2200X | AP8005 | AZ | Primary |
Addresses
Primary practice location
12635 W Rudasill Rd
Tucson, AZ 85743-9724
Mailing address
PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-3777
Other practice location 1
7090 N Oracle Rd Ste 80
Tucson, AZ 85704
Phone (520) 487-1114
Other practice location 2
3402 E Broadway Blvd
Tucson, AZ 85716-5406
Phone (520) 318-5515
Other practice location 3
11257 W Ruddy Dr
Marana, AZ 85653-7726
Phone (520) 487-1114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079834 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@elconhealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12635 W Rudasill Rd
Tucson, AZ 85743-9724
Phone (520) 682-3777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Con Health & Wellness Center LLC | Current | Accepting new patients | |
| Marana Health Center Inc | Current | Accepting new patients | |
| Marana Health Center, Inc | Current | Accepting new patients | |
| Dawson Oliver | Current | Accepting new patients | |
| Marana Health Center, Inc | Past | Accepting new patients |
Locations
13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200
12635 W Rudasill Rd
Tucson, AZ 85743
Phone (520) 682-3777
3402 E Broadway Blvd
Tucson, AZ 85716
Phone (480) 498-8948
3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560
2945 W Ina Rd
Ste 215
Tucson, AZ 85741
7090 N Oracle Rd
Ste 80
Tucson, AZ 85704
Phone (520) 487-1114
Interoperability endpoints
- dawson.lopez@1278.direct.myezyaccess.com
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 and National Provider Directory roles.
-
dba MHC Healthcare
- Federally Qualified Health Center (FQHC)
- Marana, AZ
- NPI 1447263405
-
- Obstetrics & Gynecology Nurse Practitioner
- Tucson, AZ
- NPI 1255714010
-
dba MHC Healthcare Dental Office
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1396512034
-
dba Wilmot Family Health Center
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1295986735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1740657923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "MARANA",
"state": "AZ",
"postal_code": "856530188",
"telephone_number": "520-682-3777",
"fax_number": "520-682-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12635 W RUDASILL RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857439724",
"telephone_number": "520-682-3777",
"fax_number": "520-682-2333"
}
],
"practiceLocations": [
{
"address_1": "7090 N Oracle Rd Ste 80",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "85704",
"country_code": "US",
"telephone_number": "520-487-1114",
"fax_number": "520-844-6404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3402 E Broadway Blvd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857165406",
"country_code": "US",
"telephone_number": "520-318-5515",
"fax_number": "520-318-5518",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11257 W Ruddy Dr",
"address_purpose": "LOCATION",
"city": "Marana",
"state": "AZ",
"postal_code": "856537726",
"country_code": "US",
"telephone_number": "520-487-1114",
"fax_number": "520-844-6404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "DAWSON",
"middle_name": "KRAIN",
"credential": "WHNP-BC, A-GPCNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2023-04-28",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AZ",
"license": "AP8005",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "AP8005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079834",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@elconhealth.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3402 E Broadway Blvd",
"city": "Tucson",
"state": "AZ",
"country_code": "US",
"postal_code": "857165406",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.