Active NPI
Teresa Ann Lawson, APRN
- Family Nurse Practitioner
- Paintsville, KY
National Provider Identifier
1912988932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3004166
- Practice address
- 630 James S. Trimble Blvd.
Johnson County Health Department
Paintsville, KY 41240 - Phone
- (606) 789-2590
- Fax
- (606) 789-8237
- NPI assigned
- Nov 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4166P | KY | |
| Family Nurse Practitioner | 363LF0000X | 3004166 | KY | Primary |
Addresses
Primary practice location
630 James S. Trimble Blvd.
Johnson County Health Department
Paintsville, KY 41240
Mailing address
630 James S. Trimble Blvd.
Johnson County Health Department
Paintsville, KY 41240
Phone (606) 789-2590
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000328922 | Other | KY | ANTHEM BC/BS |
| 78011434 | Medicaid | KY |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3004166 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd County Health Department | Past | Accepting new patients | |
| Magoffin County Health Department | Past | Accepting new patients |
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.
-
- Public Health or Welfare Agency
- Betsy Layne, KY
- NPI 1821046129
-
- Public Health or Welfare Agency
- Salyersville, KY
- NPI 1811179294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1912988932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 JAMES S. TRIMBLE BLVD.",
"address_2": "JOHNSON COUNTY HEALTH DEPARTMENT",
"city": "PAINTSVILLE",
"state": "KY",
"postal_code": "41240",
"telephone_number": "606-789-2590",
"fax_number": "606-789-8237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 JAMES S. TRIMBLE BLVD.",
"address_2": "JOHNSON COUNTY HEALTH DEPARTMENT",
"city": "PAINTSVILLE",
"state": "KY",
"postal_code": "41240",
"telephone_number": "606-789-2590",
"fax_number": "606-789-8237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "TERESA",
"middle_name": "ANN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4166P",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3004166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000328922",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78011434",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paintsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.