Individual provider Active NPI

Katie M Lawless, APRN

  • Family Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1770031098
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009817A Issued in IN
Practice address
4055 Gateway Blvd
Newburgh, IN 47630-7451
Phone
(812) 842-2210
NPI assigned
Sep 15, 2016
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3010726 KY
Family Nurse Practitioner 363LF0000X 3010726 KY
Family Nurse Practitioner 363LF0000X 71009817A IN Primary

Addresses

Primary practice location

4055 Gateway Blvd
Newburgh, IN 47630-7451

Mailing address

PO Box 1510
Evansville, IN 47706-1510
Phone (812) 450-6815

Other practice location 1

2242 US Highway 41 N
Henderson, KY 42420-2375
Phone (270) 844-8515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161110000665 KY Practitioner - Nurse Practitioner 4587943758 Reassigns benefits to 1 organization
I20200505002179 IN Practitioner - Nurse Practitioner 4587943758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4199 Gateway Blvd
Newburgh, IN 47630-8940
Phone (812) 842-4200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71009817AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Clinic, Inc Nurse Practitioner CurrentSince Apr 20, 2020 Accepting new patients
Deaconess Women's Hospital of Southern Indiana, LLC Nurse Practitioner CurrentSince Aug 15, 2022 Accepting new patients
Deaconess Women's Hospital of Southern Indiana, LLC Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner CurrentSince Apr 20, 2020 Accepting new patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince Apr 20, 2020 Accepting new patients
Deaconess Women's Hospital of Southern Indiana, LLC Family CurrentSince Aug 15, 2022 Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Current Accepting new patients
The Women's Hospital Past Accepting new patients

Locations

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4506 N 1st Ave
Evansville, IN 47710
Phone (812) 428-6161

4055 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-2210

4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

2242 US Highway 41 N
Henderson, KY 42420
Phone (270) 844-8515

411 Letcher St
Henderson, KY 42420
Phone (270) 830-6522

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

2710 Heartland Crossing Blvd
Owensboro, KY 42303
Phone (270) 561-0140

Interoperability endpoints

  • Direct secure messaging: klawless233019@direct.deaconess.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1770031098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307451",
            "telephone_number": "812-842-2210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2242 US Highway 41 N",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424202375",
            "country_code": "US",
            "telephone_number": "270-844-8515",
            "fax_number": "270-826-1645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWLESS",
        "first_name": "KATIE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3010726",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010726",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009817A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.