Active NPI
Rachel E. Lewis M.D.
- Dermatology Physician
- Watertown, NY
National Provider Identifier
1376740043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 191378
- Legal business name
- RACHEL E. LEWIS M.D.
- Practice address
- 26495 State Route 3
Watertown, NY 13601-1749 - Phone
- (315) 783-4977
- NPI assigned
- Jun 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rachel E Lewis, M.D.
- Title
- Dr.
- Phone
- (315) 782-2783
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 191378 | NY | Primary |
Addresses
Primary practice location
26495 State Route 3
Watertown, NY 13601-1749
Mailing address
17871 County Route 156
Watertown, NY 13601-5739
Phone (315) 782-2783
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191378 | Other | NY | NY LISCENSE |
| 01445234 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Watertown, NY
- NPI 1154330751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376740043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17871 COUNTY ROUTE 156",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136015739",
"telephone_number": "315-782-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26495 STATE ROUTE 3",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136011749",
"telephone_number": "315-783-4977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RACHEL E. LEWIS M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DR.",
"authorized_official_telephone_number": "315-782-2783",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "NY",
"license": "191378",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY LISCENSE",
"identifier": "191378",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01445234",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.