Active NPI
Anne Renee Lewis, ARNP
- Gerontology Nurse Practitioner
- Des Moines, IA
National Provider Identifier
1245433655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- V-072113
- Practice address
- 1111 6TH Ave Ste A100
Des Moines, IA 50314-2610 - Phone
- (515) 358-0011
- Fax
- (515) 358-0099
- NPI assigned
- Jun 6, 2007
- Last updated
- Jul 21, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | V-072113 | IA | Primary |
Addresses
Primary practice location
1111 6TH Ave Ste A100
Des Moines, IA 50314-2610
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 358-0011
Other names 1
- Anne Renee Graham-Lewis
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V-072113 | IA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurosurgical Associates PSC | Current | Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients |
Interoperability endpoints
- annelewis@kysjhspe.allscriptsdirect.net
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1245433655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-358-0011",
"fax_number": "515-358-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 6TH AVE STE A100",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142610",
"telephone_number": "515-358-0011",
"fax_number": "515-358-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ANNE",
"middle_name": "RENEE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IA",
"license": "V-072113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "GRAHAM-LEWIS",
"middle_name": "RENEE",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.