Jennifer Michelle Lewiston

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301073287 Issued in MI

Practice address

1223 S Washington
Royal Oak, MI 48067

Phone

(248) 399-9083

Fax

(248) 399-2417

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jennifer M. Lewiston

  • Family Medicine Physician
  • Clinton TWP, MI
  • NPI 1568691186
  NPD (past) Authorized official
• Downriver Medicine Associates PLC

  • Internal Medicine Physician
  • Flat Rock, MI
  • NPI 1114055811
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326190224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 S WASHINGTON",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48067",
            "telephone_number": "248-399-9083",
            "fax_number": "248-399-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 S WASHINGTON",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48067",
            "telephone_number": "248-399-9083",
            "fax_number": "248-399-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWISTON",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301073287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Codee Taylor Lewicki, CRNA
• Denise Lewis, CRNA
• Lena Lewis, MD
• Michelle Lewis, LLBSW
• Stormi Leigh Lewis, MD
• Melanie Ley
• Shuo Li, MD
• Wei Li, M.D.
• Xin Li, MD
• Yanliang Li, MD, PHD

• Family Medicine Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.