Individual provider Active NPI

Dawson Krain Lopez, WHNP-BC, A-GPCNP-C

  • Adult Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1740657923
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP8005 Issued in AZ
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

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
079834MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200914002804 AZ Practitioner - Nurse Practitioner 2365860962 Reassigns benefits to 2 organizations

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
Marana Health Center IncGroup PAC ID 2365348091, 114 clinicians

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

OrganizationSpecialtyStatusNew patients
El Con Health & Wellness Center LLC CurrentSince May 7, 2020 Accepting new patients
Marana Health Center Inc CurrentSince Mar 7, 2023 Accepting new patients
Marana Health Center, Inc CurrentSince Mar 7, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.