Individual provider Active NPI

Wallace Daniel Lawson, FNP-C

  • Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1881164697
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP139423 Issued in TX
Practice address
14119 Boerne Country Dr
Cypress, TX 77429-5838
Phone
(713) 465-9282
NPI assigned
Dec 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139423 TX
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X AP139423 TX Primary

Addresses

Primary practice location

14119 Boerne Country Dr
Cypress, TX 77429-5838

Mailing address

14119 Boerne Country Dr
Cypress, TX 77429-5838
Phone (210) 551-9770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190705000621 TX Practitioner - Nurse Practitioner 8820323363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Sleep and Narcolepsy PLLCGroup PAC ID 2163846239, 4 clinicians

Practice addresses (Care Compare)

20333 State Hwy 249
Suite 200
Houston, TX 77070-2613
Phone (713) 465-9282

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Sleep and Narcolepsy PLLC Single Specialty CurrentSince Mar 2, 2020 Accepting new patients
Michael V Abene MD PA Single Specialty PastSince Aug 1, 2012 Accepting new patients

Locations

20333 State Highway 249
Ste 200
Houston, TX 77070
Phone (281) 748-9088

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2717/brand/21/csg/1/fhir/r4
  • Direct secure messaging: wallace.lawson.2@2717.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": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1881164697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14119 BOERNE COUNTRY DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295838",
            "telephone_number": "210-551-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14119 BOERNE COUNTRY DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295838",
            "telephone_number": "713-465-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "WALLACE",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-05",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139423",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP139423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.