Active NPI
Patricia D Lewis, CRNP
- Obstetrics & Gynecology Nurse Practitioner
- Tuscaloosa, AL
National Provider Identifier
1366470700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- R892524
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LEW104291133 | Other | NCC BOARD | |
| 1-052298 | Other | ALABAMA STATE MEDICAL LICENSE |
Other names 1
- Patricia Dianne Howell
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
| License | State | Type | Specialty |
|---|---|---|---|
| R892524 | MS | MD | Obstetrics & 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.