Diane Lewis

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

1464800 Issued in ND

Practice address

1751 36TH Ave S Apt 112
Grand Forks, ND 58201-7348

Phone

(701) 335-3491

NPI assigned

Dec 1, 2020

Last updated

Dec 1, 2020By 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

Other identifiers 1

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1336744051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 36TH AVE S APT 112",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582017348",
            "telephone_number": "701-335-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 36TH AVE S APT 112",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582017348",
            "telephone_number": "701-335-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "ND",
            "license": "1464800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1464800",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alissa Lester, LSW
• Caroline Letcher, OTR/L
• Larae Marie Letexier, LICSW
• Hayley June Letvin, DPT
• Alexis Marie Lewis
• Kristen Kay Lewis, BA
• Reginald Lewis
• Sarah Noel Lewis, PMHNP-NC
• Steven Anthony Lewis, PHARMD
• Qianlin Li, DPM

• Adult Companion in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Adult Companion in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.