Active NPI
D'Archie Lewis
- Peer Specialist
- Hopewell, VA
National Provider Identifier
1295556264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 0735000228
- Practice address
- 3414 Granby St
Hopewell, VA 23860-5612 - Phone
- (804) 704-7928
- NPI assigned
- Oct 22, 2024
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 0735000228 | VA | Primary |
Addresses
Primary practice location
3414 Granby St
Hopewell, VA 23860-5612
Mailing address
3414 Granby St
Hopewell, VA 23860-5612
Phone (804) 704-7928
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0735000228 | VA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1295556264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 GRANBY ST",
"city": "HOPEWELL",
"state": "VA",
"postal_code": "238605612",
"telephone_number": "804-704-7928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3414 GRANBY ST",
"city": "HOPEWELL",
"state": "VA",
"postal_code": "238605612",
"telephone_number": "804-704-7928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "D'ARCHIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-22",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "VA",
"license": "0735000228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hopewell, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.