Individual provider Active NPI

Dawn Darice Lundy, CNP

  • Family Nurse Practitioner
  • Kent, OH
National Provider Identifier
1821861725
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035308 Issued in OH
Practice address
500 S Water St
Kent, OH 44240-3548
Phone
(330) 678-4009
NPI assigned
Nov 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0035308 OH Primary

Addresses

Primary practice location

500 S Water St
Kent, OH 44240-3548

Mailing address

500 S Water St
Kent, OH 44240-3548
Phone (330) 678-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240229003794 OH Practitioner - Nurse Practitioner 5597100420 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Cyril Pain Clinic IncGroup PAC ID 0648327551, 8 clinicians

Practice addresses (Care Compare)

1621 E Market St
Suite a
Warren, OH 44483-6617
Phone (330) 856-2881

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0035308OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Jun 1, 2024 Accepting new patients
St Cyril Pain Clinic Inc CurrentSince Sep 1, 2024 Accepting new patients
St. Cyril Pain Clinic CurrentSince Sep 1, 2024 Accepting new patients
Doctors Pain Center, LLC CurrentSince May 1, 2024 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420

8740 E Market St
Ste 2
Warren, OH 44484
Phone (330) 647-6404

1621 E Market St
Ste A
Warren, OH 44483
Phone (330) 726-3800

1011 Boardman Canfield Rd
Youngstown, OH 44512
Phone 3306292888109

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1821861725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S WATER ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442403548",
            "telephone_number": "330-678-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S WATER ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442403548",
            "telephone_number": "330-678-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "DAWN",
        "middle_name": "DARICE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.