Individual provider Active NPI

Constance Lynn-Zedaker Lewis, ARNP

  • Women's Health Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1225420102
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
ARNP9326466 Issued in FL
Practice address
2439 Bee Ridge Rd
2453 Bee Ridge Rd
Sarasota, FL 34239-6304
Phone
(941) 365-5367
Fax
(941) 955-0453
NPI assigned
Mar 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X ARNP9326466 FL Primary

Addresses

Primary practice location

2439 Bee Ridge Rd
2453 Bee Ridge Rd
Sarasota, FL 34239-6304

Mailing address

2439 Bee Ridge Rd
2453 Bee Ridge Road
Sarasota, FL 34239-6304
Phone (941) 365-5367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150925001843 FL Practitioner - Nurse Practitioner 6709194616 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9326466FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manasota OBGYN Associates LLC CurrentSince Jun 13, 2018 Accepting new patients

Locations

2453 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 203-5000

2451 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 203-5000

2439 Bee Ridge Rd
Sarasota, FL 34239
Phone (941) 343-0609

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.

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1225420102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 BEE RIDGE RD",
            "address_2": "2453 BEE RIDGE ROAD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396304",
            "telephone_number": "941-365-5367",
            "fax_number": "941-955-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 BEE RIDGE RD",
            "address_2": "2453 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396304",
            "telephone_number": "941-365-5367",
            "fax_number": "941-955-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CONSTANCE",
        "middle_name": "LYNN-ZEDAKER",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "ARNP9326466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.