Active NPI
Tryphena T Lewis, NP
- Neonatal Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- R136634
- Practice address
- 301 St. Paul Place
Department of Pediatrics
Baltimore, MD 21202-2102 - Phone
- (410) 332-9594
- NPI assigned
- Feb 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | R136634 | MD | Primary |
| Family Nurse Practitioner | 363LF0000X | R136634 | MD |
Addresses
Primary practice location
301 St. Paul Place
Department of Pediatrics
Baltimore, MD 21202-2102
Mailing address
301 St. Paul Place
Medical Staff Services
Baltimore, MD 21202-2102
Phone (410) 332-9407
Other practice location 1
1730 Merritt Blvd
Dundalk, MD 21222-3212
Phone (410) 650-4730
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mercy | Direct | |
| Other URL | mercy | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umms Ambulatory Care LLC | Current | Accepting new patients | |
| Umms Ambulatory Care LLC | Current | Accepting new patients | |
| Umms Ambulatory Care LLC | Current | Accepting new patients |
Locations
8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300
1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756
28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
Interoperability endpoints
- tlewis35527@direct.mdmercy.com
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Denton, MD
- NPI 1487251997
-
- Urgent Care Clinic/Center
- Baltimore, MD
- NPI 1134726649
-
- Urgent Care Clinic/Center
- Glen Burnie, MD
- NPI 1801651674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1164754586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 ST. PAUL PLACE",
"address_2": "MEDICAL STAFF SERVICES",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022102",
"telephone_number": "410-332-9407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 ST. PAUL PLACE",
"address_2": "DEPARTMENT OF PEDIATRICS",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022102",
"telephone_number": "410-332-9594"
}
],
"practiceLocations": [
{
"address_1": "1730 Merritt Blvd",
"address_purpose": "LOCATION",
"city": "Dundalk",
"state": "MD",
"postal_code": "212223212",
"country_code": "US",
"telephone_number": "410-650-4730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "TRYPHENA",
"middle_name": "T",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-10",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "MD",
"license": "R136634",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R136634",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mercy",
"affiliation": "N",
"endpointDescription": "hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "TLEWIS@MDMERCY.COM",
"address_1": "301 St. Paul Place",
"address_2": "Department of Pediatrics",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212022102",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mercy",
"affiliation": "N",
"endpointDescription": "hospital",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "TLEWIS@MDMERCY.COM",
"address_1": "301 St. Paul Place",
"address_2": "Department of Pediatrics",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212022102",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.