Individual provider Active NPI

Nicholas Lawson, M.D.

  • Pediatrics Physician
  • West St Paul, MN
National Provider Identifier
1831630433
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
76240 Issued in MN
Practice address
1880 Livingston Ave Ste 102
West St Paul, MN 55118-3426
Phone
(651) 552-7999
NPI assigned
Mar 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 76240 MN Primary

Addresses

Primary practice location

1880 Livingston Ave Ste 102
West St Paul, MN 55118-3426

Mailing address

1880 Livingston Ave Ste 102
West St Paul, MN 55118-3426
Phone (651) 552-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
76240MNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc PastSince Jul 1, 2022 Accepting new patients
Mendakota Pediatrics LTD Pediatrics PastSince Apr 21, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nicholas.lawson.1@31714.direct.athenahealth.com

Organizations & group practices 2

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": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1831630433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LIVINGSTON AVE STE 102",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183426",
            "telephone_number": "651-552-7999",
            "fax_number": "651-552-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LIVINGSTON AVE STE 102",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183426",
            "telephone_number": "651-552-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-15",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "76240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.