Wendy Autumn Lewis, KCSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA233 Issued in KY

Practice address

4001 Kresge Way Ste 200
Louisville, KY 40207-4640

Phone

(502) 895-1995

NPI assigned

Feb 20, 2012

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1255604336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12503 NORTHOLT CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402458472",
            "telephone_number": "502-445-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KRESGE WAY STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074640",
            "telephone_number": "502-895-1995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12503 Northolt Ct",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402458472",
            "country_code": "US",
            "telephone_number": "502-445-2533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "WENDY",
        "middle_name": "AUTUMN",
        "credential": "KCSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-20",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "KY",
            "license": "SA233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharleeka Lewis
• Summer Renea Lewis, CST,CFA
• Susan Jane Lewis, ARNP, PHD
• Todd F Lewis, O.D.
• Vonnie S Lewis, LPCA
• Lexinyserv LLC
• Mariya Leyderman
• Janeys Leyva, PHARMD
• Michelle Stephanie Leyva, RN
• Celaida Lezcano

• Surgical Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Surgical Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.