Individual provider Active NPI

Tashana Lewis

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1003533217
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11021965 Issued in FL
Practice address
3160 Southgate Commerce Blvd
Orlando, FL 32806-8549
Phone
(407) 857-8860
NPI assigned
Oct 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11021965 FL Primary

Addresses

Primary practice location

3160 Southgate Commerce Blvd
Orlando, FL 32806-8549

Mailing address

3900 SW 52ND Ave Unit 804
Hollywood, FL 33023-6932
Phone (954) 292-9332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230703003093 FL Practitioner - Nurse Practitioner 1850750290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elyaman Medical Services PAGroup PAC ID 4284923467, 19 clinicians

Practice addresses (Care Compare)

1720 SE 16TH Ave
Suite 304
Ocala, FL 34471-4620
Phone (352) 857-8417

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11021965FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elyaman Medical Services PA CurrentSince Jul 3, 2023 Accepting new patients

Locations

1720 SE 16th Ave
Ste 304
Ocala, FL 34471
Phone (352) 559-0354

6041 SW 54th St
Ste 200
Ocala, FL 34474
Phone (352) 857-8417

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIEABD/Endpoint/CIEABD

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1003533217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 SW 52ND AVE UNIT 804",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330236932",
            "telephone_number": "954-292-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 SOUTHGATE COMMERCE BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328068549",
            "telephone_number": "407-857-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TASHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11021965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.