Individual provider Active NPI

Tamara Lee Lewis, MSN, RN, FNE

  • Family Nurse Practitioner
  • Dover, DE
National Provider Identifier
1497413223
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0012358 Issued in DE
Practice address
642 S Queen St Ste 102
Dover, DE 19904-3506
Phone
(302) 601-0889
Fax
(866) 229-0237
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0012358 DE Primary
Emergency Registered Nurse 163WE0003X L1-0033762 DE

Addresses

Primary practice location

642 S Queen St Ste 102
Dover, DE 19904-3506

Mailing address

1340 Middleford Rd Ste 401
Seaford, DE 19973-3665
Phone (800) 818-8680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240222002006 DE Practitioner - Nurse Practitioner 8123462710
I20240604000322 WV Practitioner - Nurse Practitioner 8123462710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
L1-0033762DEMDEmergency Registered Nurse
LG-0012358DEMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1497413223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 MIDDLEFORD RD STE 401",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733665",
            "telephone_number": "800-818-8680",
            "fax_number": "866-229-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 S QUEEN ST STE 102",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043506",
            "telephone_number": "302-601-0889",
            "fax_number": "866-229-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TAMARA",
        "middle_name": "LEE",
        "credential": "MSN, RN, FNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012358",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "DE",
            "license": "L1-0033762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.