Marjorie Evangeline Lewis, A.R.N.P

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP 3006442 Issued in FL

Practice address

1711 SW 99TH Ave
Miramar, FL 33025-1809

Phone

(954) 438-4311

Fax

(954) 239-5767

NPI assigned

Sep 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Marjorie Evangeline Lewis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1043469711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 SW 99TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330251809",
            "telephone_number": "954-438-4311",
            "fax_number": "954-239-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 SW 99TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330251809",
            "telephone_number": "954-438-4311",
            "fax_number": "954-239-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARJORIE",
        "middle_name": "EVANGELINE",
        "name_prefix": "Mrs.",
        "credential": "A.R.N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 3006442",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 3006442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6937357-98",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARJORIE",
            "last_name": "LEWIS",
            "middle_name": "EVANGELINE",
            "prefix": "MRS.",
            "credential": "A.R,N.P",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Yael Levy
• Maureen Elaine Lewars, RRT
• Brandon Lewis
• Cheria Lewis
• Daphne Lewis
• Myia Lewis
• Timothy Lewis
• Qi Li, M.D.
• Meagan Lide, BCBA
• Life and Leisure Plus

• Family Nurse Practitioner in Miramar, FL
• Providers in Miramar, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.