Active NPI
Laura Lewis, ARNP
- Adult Health Nurse Practitioner
- Renton, WA
National Provider Identifier
1093215063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP60811864
- Practice address
- 1000 Oakesdale Ave SW Ste 100
Renton, WA 98057 - Phone
- (425) 800-9757
- NPI assigned
- Feb 16, 2018
- Last updated
- Dec 17, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP60811864 | WA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | AP60811864 | WA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | AP60811864 | WA |
Addresses
Primary practice location
1000 Oakesdale Ave SW Ste 100
Renton, WA 98057
Mailing address
1000 Oakesdale Ave SW Ste 100
Renton, WA 98057-5202
Phone (425) 800-9757
Other practice location 1
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 543-8584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2021 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60811864 | WA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renton Spine and Sports Medicine LLC | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Susan Schmitt | Past | Accepting new patients | |
| Seattle Spine & Rehabilitation Medicine PS | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba seattle spine and sports medicine
- Physical Medicine & Rehabilitation Physician
- Renton, WA
- NPI 1407324304
-
dba Seattle Spine & Rehabilitation Medicine
- Rehabilitation Practitioner
- Seattle, WA
- NPI 1578711677
-
- Rehabilitation Practitioner
- Seattle, WA
- NPI 1427228980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1093215063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 OAKESDALE AVE SW STE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "980575202",
"telephone_number": "425-800-9757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 OAKESDALE AVE SW STE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "98057",
"telephone_number": "425-800-9757"
}
],
"practiceLocations": [
{
"address_1": "1959 NE Pacific St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981950001",
"country_code": "US",
"telephone_number": "206-543-8584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "LAURA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-16",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP60811864",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP60811864",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "AP60811864",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.