Individual provider Active NPI

Cerrisa Patrice Whittier-Lewis, BSN

  • Registered Nurse
  • Wentzville, MO
National Provider Identifier
1033844683
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2018018774 Issued in MO
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

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2018018774MOMDMedical-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.

Verify at the official NPI Registry.