Keesha Lewis, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

194558 Issued in TX

Practice address

3115 College Park Drive
Suite 104
Conroe, TX 77384

Phone

(936) 321-5030

Fax

(936) 271-5033

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Murray B. Fershtman, M.D.

  • Pediatrics Physician
  • Conroe, TX
  • NPI 1770669566
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1568548360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 FLICKERING SUN CT",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773825785",
            "telephone_number": "281-651-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DRIVE",
            "address_2": "SUITE 104",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77384",
            "telephone_number": "936-321-5030",
            "fax_number": "936-271-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KEESHA",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "194558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LVN LICENSE TEXAS BNE",
            "identifier": "194558",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer P Leos, MS, RD, LD
• Kayla Lesage
• Tamara Letsinger
• Barbara Elina Leverett
• Autumn Rachelle Lewis-Bonifazi, CSA
• Sheena Ayeka Lewis
• Lexcel Surgical Assisting
• Janet Leyva, BCBA
• Alice Li
• Elaina Li

• Licensed Practical Nurse in Conroe, TX
• Providers in Conroe, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.