Active NPI
Teresa Lynn Lewis, FNP
- Nurse Practitioner
- Lafayette, IN
National Provider Identifier
1477578615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71001192A
- Practice address
- 2400 Sagamore Pkwy S
Lafayette, IN 47905-5116 - Phone
- (765) 772-4086
- Fax
- (765) 772-4086
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71001192A | IN | Primary |
| Emergency Medicine Physician | 207P00000X | 71001192A | IN |
Addresses
Primary practice location
2400 Sagamore Pkwy S
Lafayette, IN 47905-5116
Mailing address
223 S Brookfield Dr
Lafayette, IN 47905-7223
Phone (765) 426-6339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200880950 | Medicaid | IN |
Other names 1
- Teresa Lynn Gee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060208000868 | IN | Practitioner - Nurse Practitioner | 7315952504 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71001192A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Emergency Care, P.C. | Emergency Medicine | Past | Accepting new patients |
| Decatur Vein Clinic Hobart, PC | Past | Accepting new patients | |
| Proactive Mso, LLC | Past | Accepting new patients |
Interoperability endpoints
- teresa.gee@446999813881860.direct.elationemr.com
Organizations & group practices 3
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.
-
- Vascular Surgery Physician
- Merrillville, IN
- NPI 1285841502
-
- Emergency Medicine Physician
- Lafayette, IN
- NPI 1861447211
-
- Primary Care Clinic/Center
- Lafayette, IN
- NPI 1790223048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1477578615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 S BROOKFIELD DR",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479057223",
"telephone_number": "765-426-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 SAGAMORE PKWY S",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479055116",
"telephone_number": "765-772-4086",
"fax_number": "765-772-4086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "TERESA",
"middle_name": "LYNN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2022-06-06",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71001192A",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "71001192A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200880950",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "GEE",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.