Active NPI
Ricky L Lewis, CRNP
- Nurse Practitioner
- Andalusia, AL
National Provider Identifier
1194747584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-061464
- Practice address
- 835 S Three Notch St
Andalusia, AL 36420-5321 - Phone
- (334) 222-8421
- Fax
- (334) 222-1248
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- 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 | 1-061464 | AL | Primary |
Addresses
Primary practice location
835 S Three Notch St
Andalusia, AL 36420-5321
Mailing address
PO Box 398
Andalusia, AL 36420-1207
Phone (334) 222-8421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
835 S Three Notch St
Andalusia, AL 36420-5321
Phone (334) 222-8421
Hospital & facility affiliations
- Centerwell Home Health
- Andalusia Health
- Mizell Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Notch Medical Center, PC | Current | Accepting new patients |
Locations
835 S Three Notch St
Andalusia, AL 36420
Phone (205) 222-8421
Interoperability endpoints
- ricky_lewis_-_np@yourcarecommunity.org
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.
-
- Family Medicine Physician
- Andalusia, AL
- NPI 1942226220
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Andalusia, AL
- NPI 1730118621
-
- General Acute Care Hospital
- Andalusia, AL
- NPI 1821078494
-
- Rural Acute Care Hospital
- Opp, AL
- NPI 1013937705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194747584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 398",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364201207",
"telephone_number": "334-222-8421",
"fax_number": "334-222-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 S THREE NOTCH ST",
"city": "ANDALUSIA",
"state": "AL",
"postal_code": "364205321",
"telephone_number": "334-222-8421",
"fax_number": "334-222-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "RICKY",
"middle_name": "L",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-061464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Andalusia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.