Individual provider Active NPI

Julia Lewis, APRN-BC

  • Primary Care Nurse Practitioner
  • Fort Sill, OK
National Provider Identifier
1508336447
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00880600 Issued in NJ
Practice address
4303 Pitman St # 4303
Fort Sill, OK 73503-4473
Phone
(580) 585-5600
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00880600 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ00880600 NJ Primary

Addresses

Primary practice location

4303 Pitman St # 4303
Fort Sill, OK 73503-4473

Mailing address

21472 NE North Dr
Fletcher, OK 73541-3620
Phone (631) 790-1070

Other practice location 1

327 S Main St
Barnegat, NJ 08005-2351
Phone (609) 597-0018

Other practice location 2

4303 Pitman St Bldg 4303
Fort Sill, OK 73503-4473
Phone (580) 585-5600 ext. 55779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250903001302 NJ Order and Referring Only - Nurse Practitioner 7618213489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00880600NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority Past Accepting new patients

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": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1508336447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21472 NE NORTH DR",
            "city": "FLETCHER",
            "state": "OK",
            "postal_code": "735413620",
            "telephone_number": "631-790-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 PITMAN ST # 4303",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034473",
            "telephone_number": "580-585-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 S Main St",
            "address_purpose": "LOCATION",
            "city": "Barnegat",
            "state": "NJ",
            "postal_code": "080052351",
            "country_code": "US",
            "telephone_number": "609-597-0018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4303 Pitman St Bldg 4303",
            "address_purpose": "LOCATION",
            "city": "Fort Sill",
            "state": "OK",
            "postal_code": "735034473",
            "country_code": "US",
            "telephone_number": "580-585-5600 x55779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JULIA",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00880600",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00880600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sill, OK

Sources for this page

Verify at the official NPI Registry.