Individual provider Active NPI

Summer Renea Lewis, CST,CFA

  • Surgical Assistant
  • Louisville, KY
National Provider Identifier
1487792040
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA055 Issued in KY
Practice address
3 Audubon Plaza Dr Ste 560
Louisville, KY 40217-1376
Phone
(502) 636-8004
Fax
(502) 636-8384
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 89182 KY
Surgical Assistant 246ZC0007X SA055 KY Primary

Addresses

Primary practice location

3 Audubon Plaza Dr Ste 560
Louisville, KY 40217-1376

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

4703 Oak Pointe Dr
Louisville, KY 40245-6439
Phone (502) 412-2116

Other identifiers 1

IdentifierTypeStateIssuer
000000358027OtherKY246Z50400X

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA055KYMDSurgical Assistant
89182KYMDSurgical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Summer Lewis, Cfa, LLC Surgical Technologist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: slewis38371@direct.nortonhealthcare.org

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1487792040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 AUDUBON PLAZA DR STE 560",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171376",
            "telephone_number": "502-636-8004",
            "fax_number": "502-636-8384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4703 Oak Pointe Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402456439",
            "country_code": "US",
            "telephone_number": "502-412-2116",
            "fax_number": "502-412-2116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SUMMER",
        "middle_name": "RENEA",
        "name_prefix": "Mrs.",
        "credential": "CST,CFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "KY",
            "license": "89182",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "KY",
            "license": "SA055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "246Z50400X",
            "identifier": "000000358027",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.