Beverly A Lewis

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1058 E Worthy St Ste B
Gonzales, LA 70737-4302

Phone

(225) 258-7322

Fax

(225) 450-3799

NPI assigned

Dec 6, 2017

Last updated

Dec 6, 2017By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Enhance Health Care Services Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Gonzales, LA
  • NPI 1366981557
  NPD (past)
• Legacy of Love LLC

  • Home Health Aide
  • Gonzales, LA
  • NPI 1295207330
  NPD (past)

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1154836625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 E WORTHY ST STE B",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374302",
            "telephone_number": "225-258-7322",
            "fax_number": "225-450-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 E WORTHY ST STE B",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374302",
            "telephone_number": "225-258-7322",
            "fax_number": "225-450-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13669815587",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Legacy of Love LLC
• Hailey S Leindecker, PT, DPT
• Madelyn Redmond Leindecker, PA
• Sarah Elizabeth Lemoine, FNP
• Melissa A Lepine, APRN, FNP-C
• Michele Lewis
• Brian Joseph Lindenmayer, M.D.
• D'Andre Lindsey
• Garrett Lipsey
• Lani Litchfield, ATC

• Community Health Worker in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Community Health Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.