Individual provider Active NPI

Brittany Lewis, APRN

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1417566753
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
123578 Issued in AR
Practice address
4815 W Markham St
Little Rock, AR 72205-3867
Phone
(501) 661-2000
NPI assigned
Jul 22, 2020
Last updated
Jul 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 123578 AR Primary

Addresses

Primary practice location

4815 W Markham St
Little Rock, AR 72205-3867

Mailing address

12 Lakeview LN
Cabot, AR 72023-9117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201111002147 AR Practitioner - Nurse Practitioner 0547670077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivx Health of Arkansas IncGroup PAC ID 0648650242, 5 clinicians

Practice addresses (Care Compare)

101 Monument St
Suite D
Lowell, AR 72745-5030
Phone (479) 361-8601

17406 Chenal Pkwy
Suite 250
Little Rock, AR 72223-5701
Phone (501) 604-6604

2601 McCain Blvd
Suite C
North Little Rock, AR 72116-8013
Phone (501) 451-5155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Arkansas, Inc. CurrentSince Sep 9, 2023 Accepting new patients

Locations

17406 Chenal Pkwy
Ste 250
Little Rock, AR 72223
Phone (501) 604-6604

101 Monument St
Ste D
Lowell, AR 72745
Phone (479) 361-8601

2601 McCain Blvd
#C
North Little Rock, AR 72116
Phone (501) 451-5155

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1417566753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LAKEVIEW LN",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720239117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053867",
            "telephone_number": "501-661-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BRITTANY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "123578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.