Heaven Ann-Marie Pentecost-Lewis, MS

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

4104 Vestal Rd
Vestal, NY 13850-3500

Phone

(607) 235-3980

NPI assigned

May 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1235667809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GAYLORD ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139041608",
            "telephone_number": "607-651-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 VESTAL RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503500",
            "telephone_number": "607-235-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTECOST-LEWIS",
        "first_name": "HEAVEN",
        "middle_name": "ANN-MARIE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Pastrick, DPT
• Dharmesh R Patel, MD
• Taral A Patel, O.D.
• Prodip Kumar Paul, MD
• Aditya Sanjeev Pawaskar, MD
• Dennis Perenyi, MD
• Amanda Perkins, SLP
• Catherine Danielle Perna, MA, CAS, BCBA
• Mark D Perry, PHARM. D.
• Nina Pesante, MD

• Specialist in Vestal, NY
• Providers in Vestal, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.