Active NPI
Sandra Ellen Lewis, CRNA
- Certified Registered Nurse Anesthetist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6650
- Practice address
- 10800 Midlothian Tpke
Suite 265
Richmond, VA 23235-4724 - Phone
- (804) 594-2622
- Fax
- (804) 594-0915
- NPI assigned
- Dec 3, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1007029 | DC | |
| Certified Registered Nurse Anesthetist | 367500000X | 6650 | NC | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 0024169208 | VA |
Addresses
Primary practice location
10800 Midlothian Tpke
Suite 265
Richmond, VA 23235-4724
Mailing address
240 New River Dr
Jacksonville, NC 28540-5927
Phone (804) 594-2622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
317 Western Boulevard
Jacksonville, NC 28546-6338
Phone (910) 577-2345
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1007029 | DC | MD | Registered Nurse |
| 6650 | NC | MD | Speech-Language Pathologist |
| 0024169208 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onslow Memorial Hospital, Inc. | Current | Accepting new patients | |
| Commonwealth Anesthesia Associates, P.C. | Current | Accepting new patients | |
| Onslow Memorial Hospital Inc | Current | Accepting new patients | |
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients |
Locations
241 New River Dr
Jacksonville, NC 28540
Phone (910) 430-4152
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
10800 Midlothian Tpke
Ste 265
North Chesterfield, VA 23235
Phone (804) 594-1383
7858 Shrader Rd
Richmond, VA 23294
Phone (804) 287-2780
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Jacksonville, NC
- NPI 1689855900
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1548275308
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1407158918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 NEW RIVER DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285405927",
"telephone_number": "804-594-2622",
"fax_number": "804-594-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 MIDLOTHIAN TPKE",
"address_2": "SUITE 265",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232354724",
"telephone_number": "804-594-2622",
"fax_number": "804-594-0915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "SANDRA",
"middle_name": "ELLEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-03",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1007029",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "6650",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024169208",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.