Kimberly Kay Lewis, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

RN255617 Issued in OH

Practice address

1855 W Main St
Newark, OH 43055-1135

Phone

(614) 257-5918

Fax

(614) 257-5903

NPI assigned

Apr 25, 2022

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

• Kimberly Kay McClellen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1144964313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551135",
            "telephone_number": "614-257-5918",
            "fax_number": "614-257-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551135",
            "telephone_number": "614-257-5918",
            "fax_number": "614-257-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "OH",
            "license": "RN255617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MCCLELLEN",
            "middle_name": "KAY",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Dennise Lepley, RN
• John Levier Jr.
• Andrea Montana Lewis, CNM
• Bradley R Lewis, M.D.
• Donald J Lewis, MD
• Marc J Lewis, D.D.S.
• Mary Rose Ashbrook Lewis, LSW
• Terrell Lewis
• Alexander Libertini
• Licking County

• Ambulatory Care Registered Nurse in Newark, OH
• Providers in Newark, OH by specialty
• Ambulatory Care Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.