Active NPI
Tamekia F Lewis, CN
- Nutritionist
- Leesburg, VA
National Provider Identifier
1508452798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1185915
- Practice address
- 644 Burnside Ter SE
Leesburg, VA 20175-8936 - Phone
- (571) 919-8711
- NPI assigned
- Dec 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 1185915 | VA | Primary |
Addresses
Primary practice location
644 Burnside Ter SE
Leesburg, VA 20175-8936
Mailing address
644 Burnside Ter SE
Leesburg, VA 20175-8936
Phone (571) 919-8711
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tamekia@appetite4change.com | Other |
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 |
|---|---|---|---|
| 1185915 | VA | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appetite 4 Change LLC | Nutritionist | Current | 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.
-
- Nutritionist
- Leesburg, VA
- NPI 1932795093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607731200000",
"number": "1508452798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "644 BURNSIDE TER SE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201758936",
"telephone_number": "571-919-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 BURNSIDE TER SE",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201758936",
"telephone_number": "571-919-8711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "TAMEKIA",
"middle_name": "F",
"credential": "CN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-12",
"last_updated": "2020-12-12",
"certification_date": "2020-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "VA",
"license": "1185915",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tamekia@appetite4change.com",
"affiliation": "N",
"endpointDescription": "G-Suite Business Email Address",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Information Exchange",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health/Personal Information",
"address_1": "644 Burnside Ter SE",
"city": "Leesburg",
"state": "VA",
"country_code": "US",
"postal_code": "201758936",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.