Tamicka Lewis I, HHA

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA6659 Issued in DC

Practice address

2401 Blueridge Ave Silverspring
Suite 301
Silver Spring, DC 20019-2001

Phone

(301) 949-0466

Fax

(301) 933-2007

NPI assigned

Dec 3, 2014

Last updated

May 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Tamicka Lewis Former name

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": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1427455690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 BLUERIDGE AVE",
            "address_2": "301",
            "city": "SILVER SPRING",
            "state": "DC",
            "postal_code": "20019",
            "telephone_number": "202-292-8592",
            "fax_number": "301-933-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 BLUERIDGE AVE SILVERSPRING",
            "address_2": "SUITE 301",
            "city": "SILVER SPRING",
            "state": "DC",
            "postal_code": "200192001",
            "telephone_number": "301-949-0466",
            "fax_number": "301-933-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TAMICKA",
        "name_suffix": "I",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA6659",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "DC",
            "license": "2002659",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "DC",
            "license": "2002659",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMICKA",
            "last_name": "LEWIS",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.