Steven Edward Lewis Jr.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

14430 NS 3500 Rd
Konawa, OK 74849

Phone

(580) 925-2650

Fax

(833) 402-9799

NPI assigned

Dec 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1417553769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14430 NS 3500 RD",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "74849",
            "telephone_number": "580-925-2650",
            "fax_number": "833-402-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14430 NS 3500 RD",
            "city": "KONAWA",
            "state": "OK",
            "postal_code": "74849",
            "telephone_number": "580-925-2650",
            "fax_number": "833-402-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "STEVEN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Konawa",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Konawa",
            "address_1": "14430 NS 3500 Rd",
            "city": "Konawa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Freddy Jones
• Katie Jones
• Konawa Public Schools
• Amanda Lawhorn, LCSW
• Jo Lynn Leray, D.PH.
• Gwendolyn Lyles, PA-C
• Brayden Lane McClarty, LMSW
• Trenton James McClellan
• Erica McCraw
• William A McCullough, PA-C, MCMSC

• Peer Specialist in Konawa, OK
• Providers in Konawa, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.