Jordan Lewis, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0033231 Issued in OH

Practice address

5060 Bradenton Ave Ste a
Dublin, OH 43017-3511

Phone

(380) 214-1636

NPI assigned

Apr 24, 2023

Last updated

Apr 24, 2023By the provider in NPPES

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

Other names 1

• Jordan Stang Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ketamine Health & Wellness Clinics of Ohio LLC

  • Psychiatry Physician
  • Dublin, OH
  • NPI 1053005116
  Medicare reassignment NPD
• Central Ohio Podiatry Group Inc

  • Foot & Ankle Surgery Podiatrist
  • Westerville, OH
  • NPI 1710033535
  NPD

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1144917691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 E HIGH ST",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431401261",
            "telephone_number": "937-371-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 BRADENTON AVE STE A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173511",
            "telephone_number": "380-214-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JORDAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0033231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "STANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chardnae Lewis
• David Kennedy Lewis II, M.D.
• Denise Y Lewis, PH.D.
• Devin Lewis
• Douglas Augustus Lewis, PH.D, AUD
• Kimberly Lewis, C.R.C., C.V.E.
• Margo Lewis
• Mary M Lewis, PH.D.
• Michaela Lewis
• Renee Lynn Lewis, PAC

• Psychiatric/Mental Health Nurse Practitioner in Dublin, OH
• Providers in Dublin, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.