Kristen Anne Lewis, DNP, APRN, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11011219 Issued in FL

Practice address

519A E Bloomingdale Ave Ste a
Brandon, FL 33511-8105

Phone

(813) 655-4100

Fax

(813) 655-1775

NPI assigned

Jan 15, 2021

Last updated

Oct 21, 2021By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Karon R Locicero MD PAGroup PAC ID 3678593357, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Karon R Locicero MD PA

  dba Locicero Medical Group

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1326064890
  Medicare reassignment Care Compare group NPD
• Brandon-Riverview Medical Associates PA

  • Internal Medicine Physician
  • Brandon, FL
  • NPI 1235411000
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Joseph's Hospital, Inc.

  dba St. Joseph's Women's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1063001808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519A E BLOOMINGDALE AVE STE A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118105",
            "telephone_number": "813-655-4100",
            "fax_number": "813-655-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519A E BLOOMINGDALE AVE STE A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118105",
            "telephone_number": "813-655-4100",
            "fax_number": "813-655-1775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13111 US Highway 301 S",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335787401",
            "country_code": "US",
            "telephone_number": "813-671-0064",
            "fax_number": "813-672-2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KRISTEN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "648194",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11011219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "47.203.59.93",
            "affiliation": "N",
            "endpointDescription": "Kristen Lewis Endpoint",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1121 Hardwood Dr",
            "city": "Valrico",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335968115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tania Levy
• Nicole Elizabeth Lewandrowski, MD
• Adam Lewis, APRN
• Brenda Lewis
• Dakota Rhea Lewis, OD
• Monique Cherelle Lewis
• Yolaila Leyva Noa, NP
• Betti Li
• Deanna Li
• Ling Li

• Nurse Practitioner in Brandon, FL
• Providers in Brandon, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.