Sierra Michelle Maria Lewis
Individual provider Active NPI Driver · Indianapolis, IN
NPI 1124906334 · NPPES record last updated Aug 25, 2025
Key facts
- NPI
- 1124906334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 0550703691 (IN)
- Practice address
- 3347 Black Forest LN
Indianapolis, IN 46239-7945 - Phone
- (317) 717-2207
- NPI assigned
- Aug 25, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0550703691 | IN | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 0550703691 | IN | Yes |
Addresses
Primary practice location
3347 Black Forest LN
Indianapolis, IN 46239-7945
Mailing address
3347 Black Forest LN
Indianapolis, IN 46239-7945
Phone (317) 717-2207
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.