Individual provider Active NPI

Angela Loretta Lewelling, RN,PARAMEDIC

  • Registered Nurse
  • Sevierville, TN
National Provider Identifier
1417228412
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
000159027 Issued in TN
Practice address
227 Cedar St
Sevierville, TN 37862-3838
Phone
(865) 453-1034
NPI assigned
Jan 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 000159027 TN Primary

Addresses

Primary practice location

227 Cedar St
Sevierville, TN 37862-3838

Mailing address

235 Sugar Loaf Rd
Seymour, TN 37865-6729
Phone (865) 255-3945

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
000159027TNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1417228412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SUGAR LOAF RD",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378656729",
            "telephone_number": "865-255-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 CEDAR ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623838",
            "telephone_number": "865-453-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWELLING",
        "first_name": "ANGELA",
        "middle_name": "LORETTA",
        "credential": "RN,PARAMEDIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "000159027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.