Active NPI
Courtney Lewis, CRNA
- Registered Nurse
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 786794
- Practice address
- 801 E Dawson St.
Tyler, TX 75701 - Phone
- (903) 593-8441
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
TX
-
- Community/Retail Pharmacy
- Tyler, TX
- NPI 1417531021
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1629185210
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mother Frances Hospital Regional Health Care Center
Practice addresses (Care Compare)
800 E Dawson St
Tyler, TX 75701-2036
910 E Houston St
Christus Mother Frances Hospital
Tyler, TX 75702-8369
Phone (903) 531-5300
Hospital & facility affiliations
- Christus Mother Frances Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221019001476 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0547636326 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 786794 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Mother Frances Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
910 E Houston St
Ste 400
Tyler, TX 75702
Phone (903) 531-4268
1720 S Beckham Ave
Ste 104
Tyler, TX 75701
Phone (903) 597-2002
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
8389 S Broadway Ave
Tyler, TX 75703
Phone (903) 606-4129
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1094911 | TX | |
| Registered Nurse | 163W00000X | 786794 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
801 E Dawson St.
Tyler, TX 75701
Mailing address
16686 Meadow Crest Dr
Lindale, TX 75771-5263
Phone (903) 520-4043
Other practice location 1
800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 525-2668
Other practice location 2
8389 S Broadway Ave
Tyler, TX 75703-5408
Phone (903) 606-6500
Other practice location 3
910 E Houston St Ste 400
Tyler, TX 75702-8368
Phone (903) 606-4268
Other practice location 4
1720 S Beckham Ave Ste 104
Tyler, TX 75701-4437
Phone (903) 606-3900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2022.
{
"created_epoch": "1650240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1457094328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16686 MEADOW CREST DR",
"city": "LINDALE",
"state": "TX",
"postal_code": "757715263",
"telephone_number": "903-520-4043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E DAWSON ST.",
"city": "TYLER",
"state": "TX",
"postal_code": "75701",
"telephone_number": "903-593-8441"
}
],
"practiceLocations": [
{
"address_1": "800 E Dawson St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012036",
"country_code": "US",
"telephone_number": "903-525-2668",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8389 S Broadway Ave",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757035408",
"country_code": "US",
"telephone_number": "903-606-6500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "910 E Houston St Ste 400",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757028368",
"country_code": "US",
"telephone_number": "903-606-4268",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1720 S Beckham Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757014437",
"country_code": "US",
"telephone_number": "903-606-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "COURTNEY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-18",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1094911",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "786794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.