Active NPI
Janine Marie Lewis, R.D.
- Registered Dietitian
- Lee's Summit, MO
National Provider Identifier
1194011700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 133V00000X
- Practice address
- 100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000 - Phone
- (816) 347-5197
- NPI assigned
- Jun 22, 2011
- Last updated
- Oct 24, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 133V00000X | MO | Primary |
Addresses
Primary practice location
100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000
Mailing address
901 E 104TH St
Kansas City, MO 64131-4517
Phone (816) 502-8752
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133V00000X | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1194011700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641314517",
"telephone_number": "816-502-8752",
"fax_number": "816-932-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NE SAINT LUKES BLVD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640866000",
"telephone_number": "816-347-5197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JANINE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-22",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "133V00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.