Active NPI
Terry Hubert Lewis, NP-C
- Family Nurse Practitioner
- Portage, MI
National Provider Identifier
1174976773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704238831
- Practice address
- 2725 Airview Blvd
Portage, MI 49002-1803 - Phone
- (269) 349-8386
- Fax
- (269) 349-8397
- NPI assigned
- Jul 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704238831 | MI | Primary |
Addresses
Primary practice location
2725 Airview Blvd
Portage, MI 49002-1803
Mailing address
8137 E Cree Lake Dr S
Kendallville, IN 46755-9721
Phone (269) 349-8386
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Veins and Vascular Management PLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIBIBD
Organizations & group practices 1
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.
-
- Vascular Surgery Physician
- Hillsdale, MI
- NPI 1972158566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471564800000",
"number": "1174976773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8137 E CREE LAKE DR S",
"city": "KENDALLVILLE",
"state": "IN",
"postal_code": "467559721",
"telephone_number": "269-349-8386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 AIRVIEW BLVD",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490021803",
"telephone_number": "269-349-8386",
"fax_number": "269-349-8397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "TERRY",
"middle_name": "HUBERT",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-19",
"last_updated": "2016-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704238831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.