Shachrista Le'Shaun Lewis, CNA,CHHA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

37V479361005 Issued in OK

Practice address

3212 Parker Dr
Oklahoma City, OK 73135-1436

Phone

(405) 326-1332

NPI assigned

Oct 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1407166168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 PARKER DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731351436",
            "telephone_number": "405-326-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 PARKER DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731351436",
            "telephone_number": "405-326-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHACHRISTA",
        "middle_name": "LE'SHAUN",
        "name_prefix": "Mrs.",
        "credential": "CNA,CHHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OK",
            "license": "3707936108020",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OK",
            "license": "37V479361005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Moomaw Lewis, PHARM.D.
• Miles Kent Lewis
• Pamela E Lewis, L.P.N.
• Phillip Derrell Lewis, PH.D., CRC, LADC
• Roger Lewis
• Tameca Lashae Lewis
• Teena Kaye Lewis
• Teresa Vu Lewis, PHARM.D.
• Thomas R Lewis, MD
• Tiffany Thao Lee Lewis, DDS

• Community Health Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community Health Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.