Individual provider Active NPI

Shamira Lewis, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1215395033
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9281172 Issued in FL
Practice address
3717 Turman Loop
Suite 101
Wesley Chapel, FL 33544-7794
Phone
(813) 402-0238
Fax
(813) 907-5559
NPI assigned
Feb 8, 2016
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9281172 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9281172 FL Primary

Addresses

Primary practice location

3717 Turman Loop
Suite 101
Wesley Chapel, FL 33544-7794

Mailing address

3717 Turman Loop
Suite 101
Wesley Chapel, FL 33544-7794
Phone (813) 402-0238

Other identifiers 3

IdentifierTypeStateIssuer
016758300MedicaidFL
R2A4KOtherFLBCBS
P01655878OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160223000737 FL Practitioner - Nurse Practitioner 6608171079 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9281172FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services of Florida, LLC Psychiatric/Mental Health CurrentSince Apr 1, 2019 Accepting new patients
Southland Behavioral Health Services LLC CurrentSince Sep 1, 2023 Accepting new patients
SGMP Southland LLC CurrentSince Sep 1, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 19, 2024 Accepting new patients
Hospitalists of Florida LLC PastSince Mar 22, 2020 Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

8104 Tuttle Ave
Sarasota, FL 34243
Phone (941) 360-6411

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

29910 State Road 56
Wesley Chapel, FL 33543
Phone (813) 333-0000

Organizations & group practices 5

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1215395033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 TURMAN LOOP",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447794",
            "telephone_number": "813-402-0238",
            "fax_number": "813-907-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 TURMAN LOOP",
            "address_2": "SUITE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447794",
            "telephone_number": "813-402-0238",
            "fax_number": "813-907-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHAMIRA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9281172",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9281172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016758300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "R2A4K",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01655878",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.