Individual provider Active NPI

Taylor Dawn Lewis, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1154917540
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0028175 Issued in OH
Practice address
4977 Northcutt PL
Dayton, OH 45414-3839
Phone
(513) 858-9770
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0028175 OH Primary

Addresses

Primary practice location

4977 Northcutt PL
Dayton, OH 45414-3839

Mailing address

7345 Kingsgate Way
West Chester, OH 45069-2453
Phone (513) 777-1333

Other practice location 1

7345 Kingsgate Way
West Chester, OH 45069-2453
Phone (513) 777-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20210111001512 OH Practitioner - Nurse Practitioner 3870906993 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
0028175OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Urgent Care, Inc. CurrentSince Jul 5, 2021 Accepting new patients
CG Medical Associates Inc CurrentSince Dec 19, 2020 Accepting new patients

Locations

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

8 Prestige Plaza Dr
Ste 107
Miamisburg, OH 45342
Phone (937) 208-6871

752 N Main St
Springboro, OH 45066
Phone (937) 208-6865

7345 Kingsgate Way
West Chester, OH 45069
Phone (513) 777-1333

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1154917540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 KINGSGATE WAY",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692453",
            "telephone_number": "513-777-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4977 NORTHCUTT PL",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143839",
            "telephone_number": "513-858-9770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7345 Kingsgate Way",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "OH",
            "postal_code": "450692453",
            "country_code": "US",
            "telephone_number": "513-777-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TAYLOR",
        "middle_name": "DAWN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "0028175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.