Individual provider Active NPI

Cynthia Marie Lewis, CRNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1194901223
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-065390 Issued in AL
Practice address
1101 Jackson Ave
Tuscaloosa, AL 35401-3220
Phone
(205) 345-4131
Fax
(205) 759-4039
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-065390 AL Primary

Addresses

Primary practice location

1101 Jackson Ave
Tuscaloosa, AL 35401-3220

Mailing address

1101 Jackson Ave
Tuscaloosa, AL 35401-3220
Phone (205) 345-4131

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141016002404 AL Practitioner - Nurse Practitioner 4880815851 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-065390ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Aug 6, 2019 Accepting new patients
American Family Care, LLC Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jul 1, 2014 Accepting new patients
American Family Care, LLC CurrentSince Aug 6, 2019 Accepting new patients

Locations

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1194901223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 JACKSON AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354013220",
            "telephone_number": "205-345-4131",
            "fax_number": "205-759-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 JACKSON AVE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354013220",
            "telephone_number": "205-345-4131",
            "fax_number": "205-759-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-065390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.