Active NPI
Annette Lewis
- Nurse Practitioner
- Jamestown, TN
National Provider Identifier
1164488144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN58717
- Practice address
- 234 W Central Ave
Jamestown, TN 38556-3405 - Phone
- (931) 879-8139
- Fax
- (931) 879-0221
- NPI assigned
- Apr 26, 2006
- Last updated
- Aug 27, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN58717 | TN | Primary |
Addresses
Primary practice location
234 W Central Ave
Jamestown, TN 38556-3405
Mailing address
PO Box 1168
Jamestown, TN 38556-1168
Phone (931) 879-8139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3901196 | Medicaid | TN |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN58717 | TN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1164488144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1168",
"city": "JAMESTOWN",
"state": "TN",
"postal_code": "385561168",
"telephone_number": "931-879-8139",
"fax_number": "931-879-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 W CENTRAL AVE",
"city": "JAMESTOWN",
"state": "TN",
"postal_code": "385563405",
"telephone_number": "931-879-8139",
"fax_number": "931-879-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ANNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "RN58717",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3901196",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, TN
- Laboratory Corporation of America Holdings
- Jeffrey C Lawhon, M.D.
- Connie S. Lee, FNP-C
- Molly Jo Dayhuff Lefever, PHARM.D.
- Elaina Ann Leffew, LPN
- Lifecare Family Services
- LP Jamestown LLC (Signature HealthCARE of Fentress County)
- Manna House Ministries
- Fani B Manney, M.D.
- Masters Family Medical, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.