Active NPI
Cerrisa Patrice Whittier-Lewis, BSN
- Registered Nurse
- Wentzville, MO
National Provider Identifier
1033844683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2018018774
- Practice address
- 545 Sunshine Brook Dr
Wentzville, MO 63385-8964 - Phone
- (314) 218-5126
- NPI assigned
- Jul 19, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 2018018774 | MO | |
| Registered Nurse | 163W00000X | 2018018774 | MO | Primary |
| Medical-Surgical Registered Nurse | 163WM0705X | 2018018774 | MO |
Addresses
Primary practice location
545 Sunshine Brook Dr
Wentzville, MO 63385-8964
Mailing address
545 Sunshine Brook Dr
Wentzville, MO 63385-8964
Phone (314) 218-5126
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)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018018774 | MO | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1033844683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 SUNSHINE BROOK DR",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633858964",
"telephone_number": "314-218-5126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 SUNSHINE BROOK DR",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633858964",
"telephone_number": "314-218-5126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTIER-LEWIS",
"first_name": "CERRISA",
"middle_name": "PATRICE",
"credential": "BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "MO",
"license": "2018018774",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2018018774",
"primary": true
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "MO",
"license": "2018018774",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.