Individual provider Active NPI

Stewart Lewis, FNP

  • Family Health Clinical Nurse Specialist
  • Tucson, AZ
National Provider Identifier
1093257172
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
AP9566 Issued in AZ
Practice address
7105 N la Cholla Blvd
Tucson, AZ 85741
Phone
(520) 547-0611
Fax
(520) 547-0616
NPI assigned
Nov 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X AP9566 AZ Primary

Addresses

Primary practice location

7105 N la Cholla Blvd
Tucson, AZ 85741

Mailing address

7105 N la Cholla Blvd
Tucson, AZ 85741
Phone (520) 547-0611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20161129002581 AZ Practitioner - Nurse Practitioner 5991085441 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP9566AZMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physician PC CurrentSince Jan 1, 2017 Accepting new patients
Southern Arizona Urgent Care LLC CurrentSince Aug 8, 2022 Accepting new patients
Arizona Community Physicians PC Nurse Practitioner CurrentSince Jan 1, 2017 Accepting new patients
Southern Arizona Urgent Care, LLC CurrentSince Aug 8, 2022 Accepting new patients
Arizona Community Physicians PC PastSince Apr 25, 2021 Accepting new patients

Locations

7105 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 547-0611

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

9302 E 22nd St
Tucson, AZ 85710
Phone (520) 278-5758

7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273

90 W River Rd
Tucson, AZ 85704
Phone (520) 912-4200

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

Interoperability endpoints

  • Direct secure messaging: slewis18509@azacp.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1093257172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85741",
            "telephone_number": "520-547-0611",
            "fax_number": "520-547-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85741",
            "telephone_number": "520-547-0611",
            "fax_number": "520-547-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "STEWART",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-07",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "AZ",
            "license": "AP9566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.