Individual provider Active NPI

Veda Elaine Lewis, RN,LMT

  • Nurse Massage Therapist (NMT)
  • Marksville, LA
National Provider Identifier
1104906262
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse Massage Therapist (NMT)Taxonomy code 163WM1400X
License
LA1364-01 Issued in LA
Practice address
193 Old Ferry Landing Rd
Marksville, LA 71351-4821
Phone
(318) 305-5967
Fax
(318) 253-6463
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN034595 LA
Hospice Registered Nurse 163WH1000X RN034595 LA
Nurse Massage Therapist (NMT) 163WM1400X LA1364-01 LA Primary
Pain Management Registered Nurse 163WP0000X RN034595-LA1364-01 LA

Addresses

Primary practice location

193 Old Ferry Landing Rd
Marksville, LA 71351-4821

Mailing address

176 Old Ferry Landing Rd
Marksville, LA 71351-4862
Phone (318) 305-5967

Other identifiers 1

IdentifierTypeStateIssuer
G9211OtherBLUE CROSS/BLUE SHIELD

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN034595LAMDHospice Registered Nurse
LA1364-01LAMDNurse Massage Therapist (NMT)
RN034595-LA1364-01LAMDPain Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1104906262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 OLD FERRY LANDING RD",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713514862",
            "telephone_number": "318-305-5967",
            "fax_number": "318-253-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 OLD FERRY LANDING RD",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713514821",
            "telephone_number": "318-305-5967",
            "fax_number": "318-253-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "VEDA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "RN,LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN034595",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "LA",
            "license": "RN034595",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "LA",
            "license": "LA1364-01",
            "primary": true
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "LA",
            "license": "RN034595-LA1364-01",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "G9211",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.