Active NPI
Nicholas Lawson, M.D.
- Pediatrics Physician
- West St Paul, MN
National Provider Identifier
1831630433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 76240
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 76240 | MN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Past | Accepting new patients | |
| Mendakota Pediatrics LTD | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- West St Paul, MN
- NPI 1497739320
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
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.