Christina Taylor Lewis
Individual provider Active NPI Primary Care Nurse Practitioner · Dunn, NC
NPI 1467174342 · NPPES record last updated Sep 16, 2022
Key facts
- NPI
- 1467174342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 5016920 (NC)
- Practice address
- 1480 Maple Grove Church Rd
Dunn, NC 28334-7692 - Phone
- (910) 567-6194
- NPI assigned
- Sep 16, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tri County Community Health Council Inc
Practice addresses (Care Compare)
1480 Maple Grove Church Rd
Dunn, NC 28334-7692
Phone (910) 567-6194
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230104000151 | NC | Practitioner - Nurse Practitioner | 3971973124 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri County Community Health Council Inc | Current | Accepting new patients | |
| Tri County Community Health Council Inc | Current |
Accepting new patients | |
| Tri County Community Health Council Inc. | Current |
Accepting new patients | |
| Tri County Community Health Council Inc | Past | Accepting new patients |
Locations
4311 Old Ocean Hwy
Bolivia, NC 28422
3331 Easy St
Dunn, NC 28334
1480 Maple Grove Church Rd
Dunn, NC 28334
Phone (910) 567-5020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 5016920 | NC | Yes |
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
Other providers in Dunn, NC
- Dong-Jin Joshua Lee
- Jesse G Lee
- Leeanna Beasley Lee
- Lee'S Shoes, Inc.
- Christina Lesnoski
- Lyn Denise Lewis
- Liberty Healthcare Group, LLC
- Liberty Healthcare Group, LLC
- Liberty Nursing Services II, LLC
- Erica Allison Lipscomb
All providers in Dunn, NC · Primary Care Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.