Active NPI
Yvette Renee Douglas-Lewis
- Family Medicine Physician
- Warrenton, NC
National Provider Identifier
1003005679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9601595
- Practice address
- 163 Christmas Rd
Warrenton, NC 27589-8723 - Phone
- (252) 257-0372
- NPI assigned
- Oct 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9601595 | NC | Primary |
Addresses
Primary practice location
163 Christmas Rd
Warrenton, NC 27589-8723
Mailing address
163 Christmas Rd
Warrenton, NC 27589-8723
Phone (252) 257-0372
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7910404 | Medicaid | NC |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9601595 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vance-Warren Comprehensive Health Plan, Inc. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Manson, NC
- NPI 1992768881
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1003005679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 CHRISTMAS RD",
"city": "WARRENTON",
"state": "NC",
"postal_code": "275898723",
"telephone_number": "252-257-0372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 CHRISTMAS RD",
"city": "WARRENTON",
"state": "NC",
"postal_code": "275898723",
"telephone_number": "252-257-0372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS-LEWIS",
"first_name": "YVETTE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-19",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "9601595",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7910404",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.