Leetha Wynne Lewis, REGISTERED NURSE

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

1070535 Issued in KY

Practice address

3775 Belleau Wood Dr
Lexington, KY 40517-1804

Phone

(859) 271-9001

NPI assigned

May 19, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Leetha Lewis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1548052525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 FIELDVIEW DR",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403830836",
            "telephone_number": "859-492-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 BELLEAU WOOD DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171804",
            "telephone_number": "859-271-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "LEETHA",
        "middle_name": "WYNNE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "KY",
            "license": "1070535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEETHA",
            "last_name": "LEWIS",
            "credential": "REGISTERED NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jon Lewis, PA-C
• Julie Suzanne Lewis, M.D.
• Karissa Lewis
• Kelly Rita Lewis
• Lauren Jaye Lewis
• Lexi Shay Lewis
• Lindsey Paige Lewis, MSSW
• Phyllis A Lewis, MD
• Savannah Marie Lewis, PA
• Terrie L Lewis, NP

• General Practice Registered Nurse in Lexington, KY
• Providers in Lexington, KY by specialty
• General Practice Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.