Active NPI
Carol S Lewis, PA
- Physician Assistant
- Parrish, FL
National Provider Identifier
1255308474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9104822
- Practice address
- 12271 US Highway 301 N
301
Parrish, FL 34219-8410 - Phone
- (941) 776-4000
- Fax
- (941) 776-4010
- NPI assigned
- Mar 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2303 | AZ | |
| Physician Assistant | 363A00000X | PA9104822 | FL | Primary |
Addresses
Primary practice location
12271 US Highway 301 N
301
Parrish, FL 34219-8410
Mailing address
PO Box 499
Parrish, FL 34219-0499
Phone (941) 776-4000
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2303 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-City Cardiology Consultants, PC | Past | Accepting new patients | |
| MCR Health, Inc. | Physician Assistant | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
Physician Assistant
-
- Cardiac Rehabilitation Registered Nurse
- Mesa, AZ
- NPI 1689417636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1255308474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 499",
"city": "PARRISH",
"state": "FL",
"postal_code": "342190499",
"telephone_number": "941-776-4000",
"fax_number": "941-776-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12271 US HIGHWAY 301 N",
"address_2": "301",
"city": "PARRISH",
"state": "FL",
"postal_code": "342198410",
"telephone_number": "941-776-4000",
"fax_number": "941-776-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CAROL",
"middle_name": "S",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "2303",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9104822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parrish, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.