Individual provider Active NPI

Danielle Diane Lewis, FNP-C

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1326768854
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905531 Issued in MS
Practice address
623 W Main St
Tupelo, MS 38804-3759
Phone
(662) 397-7794
NPI assigned
Sep 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905531 MS Primary

Addresses

Primary practice location

623 W Main St
Tupelo, MS 38804-3759

Mailing address

4174 Highway 278
Sulligent, AL 35586-4525
Phone (205) 712-5114

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Ddlewis@nmhs.net Health Information Exchange (HIE)
Other URL Ddlewis@nmhs.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221004001004 MS Practitioner - Nurse Practitioner 7113303801 Reassigns benefits to 4 organizations
I20240815002462 AL Practitioner - Nurse Practitioner 7113303801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
905531MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Health Services, Inc. Current Accepting new patients
Priority Care PLLC CurrentSince Apr 18, 2023 Accepting new patients
North Mississippi Gilmore Clinics, LLC Current Accepting new patients
Monroe Health Services, Inc. CurrentSince May 17, 2023 Accepting new patients
Monroe Health Services, Inc. CurrentSince May 17, 2023 Accepting new patients
North Mississippi Medical Clinics Inc Family Current Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Sep 1, 2022 Accepting new patients
North Mississippi Gilmore Clinics, LLC CurrentSince Sep 1, 2022 Accepting new patients
Donald P. McCurdy, MD, PC PastSince May 3, 2024 Accepting new patients

Locations

1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111

1107 Earl Frye Blvd
Ste 3
Amory, MS 38821
Phone (662) 256-9590

1107 Earl Frye Blvd
Ste 5
Amory, MS 38821
Phone (662) 257-6705

1107 Earl Frye Blvd
Ste 6
Amory, MS 38821
Phone (601) 256-9327

1208 Guy Pickle Rd
Amory, MS 38821
Phone (662) 256-3120

404 Gilmore Dr
Amory, MS 38821
Phone (662) 256-3564

903 Mississippi Dr
Tupelo, MS 38804
Phone (662) 377-4652

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

Interoperability endpoints

  • Direct secure messaging: danielle.lewis.1@29425.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20757/brand/3/csg/22/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1326768854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4174 HIGHWAY 278",
            "city": "SULLIGENT",
            "state": "AL",
            "postal_code": "355864525",
            "telephone_number": "205-712-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388043759",
            "telephone_number": "662-397-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DANIELLE",
        "middle_name": "DIANE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ddlewis@nmhs.net",
            "affiliation": "N",
            "endpointDescription": "Ddlewis@nmhs.net",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "623 W Main St",
            "city": "Tupelo",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388043759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Ddlewis@nmhs.net",
            "affiliation": "N",
            "endpointDescription": "internetwork email NMHS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "623 W Main St",
            "city": "Tupelo",
            "state": "MS",
            "country_code": "US",
            "postal_code": "388043759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.