Individual provider Active NPI

Patricia D Lewis, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1366470700
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
R892524 Issued in MS
Practice address
657 Helen Keller Blvd
Tuscaloosa, AL 35404-2983
Phone
(205) 255-3784
Fax
(205) 255-3775
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X R892524 MS Primary

Addresses

Primary practice location

657 Helen Keller Blvd
Tuscaloosa, AL 35404-2983

Mailing address

657 Helen Keller Blvd
Tuscaloosa, AL 35404-2983
Phone (205) 255-3784

Other practice location 1

505 Willowbrook Road
Columbus, MS 39705-2016
Phone (662) 329-9191

Other identifiers 2

IdentifierTypeStateIssuer
LEW104291133OtherNCC BOARD
1-052298OtherALABAMA STATE MEDICAL LICENSE

Other names 1

  • Patricia Dianne Howell Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R892524MSMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1366470700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 HELEN KELLER BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042983",
            "telephone_number": "205-255-3784",
            "fax_number": "205-255-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 HELEN KELLER BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354042983",
            "telephone_number": "205-255-3784",
            "fax_number": "205-255-3775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Willowbrook Road",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397052016",
            "country_code": "US",
            "telephone_number": "662-329-9191",
            "fax_number": "662-329-9194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "PATRICIA",
        "middle_name": "D",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MS",
            "license": "R892524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC BOARD",
            "identifier": "LEW104291133",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA STATE MEDICAL LICENSE",
            "identifier": "1-052298",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "HOWELL",
            "middle_name": "DIANNE",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.