Active NPI
Cameron Nichole Lewis, AGACNP-BC
- Acute Care Nurse Practitioner
- Alexandria, VA
National Provider Identifier
1043733041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 0024176020
- Practice address
- 5845 Richmond Hwy Ste 150
Alexandria, VA 22303-1868 - Phone
- (703) 333-6960
- Fax
- (703) 256-8294
- NPI assigned
- Jul 21, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN1023367 | DC | |
| Acute Care Nurse Practitioner | 363LA2100X | 0024176020 | VA | Primary |
Addresses
Primary practice location
5845 Richmond Hwy Ste 150
Alexandria, VA 22303-1868
Mailing address
4121 S Four Mile Run Dr Unit 203
Arlington, VA 22204-3913
Phone (502) 592-9080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024176020 | Other | VA | VA- NURSE PRACTITIONER LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1023367 | DC | MD | Acute Care Nurse Practitioner |
| 0024176020 | VA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Capital Hospice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community Based Hospice Care Agency
- Falls Church, VA
- NPI 1568485894
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1043733041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4121 S FOUR MILE RUN DR UNIT 203",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222043913",
"telephone_number": "502-592-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5845 RICHMOND HWY STE 150",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223031868",
"telephone_number": "703-333-6960",
"fax_number": "703-256-8294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CAMERON",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-21",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "DC",
"license": "RN1023367",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024176020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA- NURSE PRACTITIONER LICENSE",
"identifier": "0024176020",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.