Active NPI
Kathleen Eva Dawson
- Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1992009419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2010014385
- Practice address
- 8112 Delmar Blvd
Saint Louis, MO 63130-3736 - Phone
- (314) 725-5556
- Fax
- (314) 725-2223
- NPI assigned
- Dec 23, 2010
- Last updated
- Apr 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2010014385 | MO | Primary |
Addresses
Primary practice location
8112 Delmar Blvd
Saint Louis, MO 63130-3736
Mailing address
8112 Delmar Blvd
Saint Louis, MO 63130-3736
Phone (314) 725-5556
Other names 1
- Ms. Kathleen Eva Dawson
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirpa LLC | Past | Accepting new patients | |
| Simran Behavioral Health | Past | Accepting new patients | |
| Dr. Wit Internal Medicine Prof Geriatric Care | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1033194386
-
- Internal Medicine Physician
- Olivette, MO
- NPI 1891747051
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Louis, MO
- NPI 1831526052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302912000000",
"number": "1992009419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8112 DELMAR BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631303736",
"telephone_number": "314-725-5556",
"fax_number": "314-725-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8112 DELMAR BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631303736",
"telephone_number": "314-725-5556",
"fax_number": "314-725-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "KATHLEEN",
"middle_name": "EVA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-23",
"last_updated": "2011-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2010014385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "DAWSON",
"middle_name": "EVA",
"prefix": "MS.",
"credential": "R.N., ANP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.