Nicole Michelle Lewis

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2501 SW E Ave
Lawton, OK 73505-7320

Phone

(580) 248-6450

NPI assigned

Oct 18, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Marie Detty Youth & Family Services Center, Inc.

  • Community/Behavioral Health Agency
  • Lawton, OK
  • NPI 1679694632
  NPD (past)

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1407638091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SW C AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014016",
            "telephone_number": "580-250-1123",
            "fax_number": "580-595-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SW E AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057320",
            "telephone_number": "580-248-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "NICOLE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Leroux
• Brandon Antonio Lewis, MS
• Candice Lynn Lewis
• Elizabeth Gail Lewis, M.D.
• Krystal Meredith Lewis, SUPERVISED LADC
• Patricia Lewis
• Stephanie Lynne Lewis
• Mario De Jesus Leyva, M.D.
• Life Management Counseling & Consulting
• Lighthouse Behavioral Wellness Centers

• Case Manager/Care Coordinator in Lawton, OK
• Providers in Lawton, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.