Individual provider Active NPI

Wendy Lewis, LPN

  • Licensed Practical Nurse
  • Warner Robins, GA
National Provider Identifier
1114541067
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN070979 Issued in GA
Practice address
940 Ga Highway 96 Ste C
Warner Robins, GA 31088-2585
Phone
(478) 988-7100
Fax
(478) 988-6847
NPI assigned
Jun 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN070979 GA Primary

Addresses

Primary practice location

940 Ga Highway 96 Ste C
Warner Robins, GA 31088-2585

Mailing address

940 C Hwy 96
Warner Robins, GA 31099
Phone (478) 988-7100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WendyL@mfbhc.org Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
LPN070979GAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1114541067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 C HWY 96",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31099",
            "telephone_number": "478-988-7100",
            "fax_number": "478-988-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 GA HIGHWAY 96 STE C",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882585",
            "telephone_number": "478-988-7100",
            "fax_number": "478-988-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "WENDY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN070979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WendyL@mfbhc.org",
            "affiliation": "N",
            "endpointDescription": "email for work",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "facility",
            "address_1": "940 C Hwy 96",
            "city": "Warner RObins",
            "state": "GA",
            "country_code": "US",
            "postal_code": "31099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.