Active NPI
Summer Renea Lewis, CST,CFA
- Surgical Assistant
- Louisville, KY
National Provider Identifier
1487792040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA055
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000358027 | Other | KY | 246Z50400X |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA055 | KY | MD | Surgical Assistant |
| 89182 | KY | MD | Surgical Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summer Lewis, Cfa, LLC | Surgical Technologist | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Surgical Technologist
- Louisville, KY
- NPI 1679783039
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.