Active NPI
Kevin Lewis, BSN
- Critical Care Medicine Registered Nurse
- Tripler Army Medical Center, HI
National Provider Identifier
1235675877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 877650
- Practice address
- 1 Jarrett White Rd
Tripler Army Medical Center, HI 96859 - Phone
- (808) 433-0600
- NPI assigned
- Jan 6, 2017
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 877650 | TX | Primary |
Addresses
Primary practice location
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859
Mailing address
2817 Reilly St
Suit 521
Fort Bragg, NC 28310-7324
Phone (479) 841-5277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 877650 | TX | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1235675877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 REILLY ST",
"address_2": "SUIT 521",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283107324",
"telephone_number": "479-841-5277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TRIPLER ARMY MEDICAL CENTER",
"state": "HI",
"postal_code": "96859",
"telephone_number": "808-433-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "BSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-06",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TX",
"license": "877650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tripler Army Medical Center, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.