Diana Louise Lewis, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R24775 Issued in NM

Practice address

NM State Highway 120,
Mile Marker 12.5
Ocate, NM 87734

Phone

(505) 666-2475

NPI assigned

Oct 31, 2005

Last updated

Jun 27, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Diana Louise Lewis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Mesa Medical LLC

  • Family Nurse Practitioner
  • Las Vegas, NM
  • NPI 1154416584
  NPD (past)
• South Central Colfax County Special Hospital District

  dba Moreno Valley Urgent Care @ Angel Fire Resort

  • Urgent Care Clinic/Center
  • Angel Fire, NM
  • NPI 1487470977
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1043201056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NM HIGHWAY 120 @MILE MARKER 12.5, SOUTH SIDE OF HIGHWAY",
            "address_2": "P.O. BOX 203",
            "city": "OCATE",
            "state": "NM",
            "postal_code": "87734",
            "telephone_number": "505-666-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NM STATE HIGHWAY 120,",
            "address_2": "MILE MARKER 12.5",
            "city": "OCATE",
            "state": "NM",
            "postal_code": "87734",
            "telephone_number": "505-666-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DIANA",
        "middle_name": "LOUISE",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "R24775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "LEWIS",
            "middle_name": "LOUISE",
            "credential": "N.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Country Medical Services, LLC

• Family Nurse Practitioner in Ocate, NM
• Providers in Ocate, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.