Individual provider Active NPI

Christina Taylor Lewis

  • Primary Care Nurse Practitioner
  • Dunn, NC
National Provider Identifier
1467174342
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5016920 Issued in NC
Practice address
1480 Maple Grove Church Rd
Dunn, NC 28334-7692
Phone
(910) 567-6194
NPI assigned
Sep 16, 2022
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5016920 NC Primary

Addresses

Primary practice location

1480 Maple Grove Church Rd
Dunn, NC 28334-7692

Mailing address

881 Plain View Hwy
Dunn, NC 28334-7570
Phone (919) 763-4080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20230104000151 NC Practitioner - Nurse Practitioner 3971973124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1480 Maple Grove Church Rd
Dunn, NC 28334-7692
Phone (910) 567-6194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5016920NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Community Health Council Inc Current Accepting new patients
Tri County Community Health Council Inc CurrentSince Oct 1, 2022 Accepting new patients
Tri County Community Health Council Inc. CurrentSince Oct 1, 2022 Accepting new patients
Tri County Community Health Council Inc Past Accepting new patients

Locations

4311 Old Ocean Hwy
Bolivia, NC 28422

1480 Maple Grove Church Rd
Dunn, NC 28334
Phone (910) 567-5020

3331 Easy St
Dunn, NC 28334

Organizations & group practices 4

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": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1467174342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 PLAIN VIEW HWY",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283347570",
            "telephone_number": "919-763-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 MAPLE GROVE CHURCH RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283347692",
            "telephone_number": "910-567-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHRISTINA",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5016920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

Verify at the official NPI Registry.