Active NPI
Mary Jane Lewis, CRNA
- Certified Registered Nurse Anesthetist
- N Wilkesboro, NC
National Provider Identifier
1144224114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 172991
- Practice address
- 1370 W D St
N Wilkesboro, NC 28659-3506 - Phone
- (336) 651-8100
- NPI assigned
- Jun 8, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 172991 | NC | Primary |
Addresses
Primary practice location
1370 W D St
N Wilkesboro, NC 28659-3506
Mailing address
126 Joe Owens Rd
Fleetwood, NC 28626-9663
Phone (336) 877-5799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8051430 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WRMC Hospital Operating Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba WRMC Physicians
- Hospitalist Physician
- North Wilkesboro, NC
- NPI 1093737082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1144224114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 JOE OWENS RD",
"city": "FLEETWOOD",
"state": "NC",
"postal_code": "286269663",
"telephone_number": "336-877-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 W D ST",
"city": "N WILKESBORO",
"state": "NC",
"postal_code": "286593506",
"telephone_number": "336-651-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MARY",
"middle_name": "JANE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-08",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "172991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8051430",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in N Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.