Active NPI
Hazel Irene Lewis, R.D.
- Pediatric Nutrition Registered Dietitian
- Lafayette, IN
National Provider Identifier
1194052365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nutrition Registered Dietitian
- License
- 37000715A
- Practice address
- 1125 Logan Ave
Lafayette, IN 47905-1829 - Phone
- (765) 474-6858
- NPI assigned
- Nov 9, 2009
- 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 |
|---|---|---|---|---|
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 37000715A | IN | Primary |
Addresses
Primary practice location
1125 Logan Ave
Lafayette, IN 47905-1829
Mailing address
1125 Logan Ave
Lafayette, IN 47905-1829
Phone (765) 474-6858
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37000715A | IN | MD | Pediatric Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1194052365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 LOGAN AVE",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479051829",
"telephone_number": "765-474-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 LOGAN AVE",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479051829",
"telephone_number": "765-474-6858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "HAZEL",
"middle_name": "IRENE",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "IN",
"license": "37000715A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.