Amber Lewis, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1-132422 Issued in AL

Practice address

829 Riverbend Dr
Gadsden, AL 35901-2556

Phone

(256) 546-4611

NPI assigned

Oct 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Premier Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Scottsboro, AL
  • NPI 1083955173
  Medicare reassignment NPD
• Northeast Alabama Pediatrics, P.C.

  • Pediatrics Physician
  • Gadsden, AL
  • NPI 1306946546
  NPD (past)

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1134670144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 RIVERBEND DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359012556",
            "telephone_number": "256-546-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 RIVERBEND DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359012556",
            "telephone_number": "256-546-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "AMBER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-132422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Lee, MS, OTR/L
• Robert Winston Lee, M.D.
• Legacy Counseling and Consulting Services LLC
• Glenn E Leslie, RPH
• Melissa A Leslie, RPH
• Lifehealth, P.C. (Regional Clinic)
• Lighthouse Counseling Services
• Weldon Lim, MD
• Edward M Lindsey, Jr., DMD, DABSCD, FAAHD
• Michelle K Lindsey, RPT

• Pediatric Nurse Practitioner in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Pediatric Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.