Active NPI
Carla Joan Lewis
- Specialist
- Manchester, KY
National Provider Identifier
1124289301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 307 Bridge St
Manchester, KY 40962-1266 - Phone
- (606) 598-0576
- NPI assigned
- Jun 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | KY | Primary |
Addresses
Primary practice location
307 Bridge St
Manchester, KY 40962-1266
Mailing address
PO Box 1153
Manchester, KY 40962-4153
Phone (606) 598-0576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 949 | Other | KY | KENTUCKY'S EARLY INTERVENTION SYSTEM FIRST STEPS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1124289301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1153",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409624153",
"telephone_number": "606-598-0576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 BRIDGE ST",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409621266",
"telephone_number": "606-598-0576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CARLA",
"middle_name": "JOAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-20",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY'S EARLY INTERVENTION SYSTEM FIRST STEPS",
"identifier": "949",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.