NPIMap

Organization Active NPI

Lewis Health Institute, Inc.

  • Clinic/Center
  • PT. St. Lucie, FL
National Provider Identifier
1568616142
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME100426 Issued in FL
Legal business name
LEWIS HEALTH INSTITUTE, INC.
Practice address
1310 SW St. Lucie West Blvd.
PT. St. Lucie, FL 34986
Phone
(772) 398-6200
Fax
(772) 398-6246
NPI assigned
Nov 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Dr. Yolanda V Lewis, M.D.
Title
President
Phone
(772) 398-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME100426 FL Primary

Addresses

Primary practice location

1310 SW St. Lucie West Blvd.
PT. St. Lucie, FL 34986

Mailing address

PO Box 1447
Ft. Pierce, FL 34954-1447
Phone (772) 398-6200

Other identifiers 1

IdentifierTypeStateIssuer
000640700MedicaidFL

National Provider Directory

National Provider Directory

Locations

1310 SW Saint Lucie West Blvd
Port St Lucie, FL 34986
Phone (772) 398-6200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1568616142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1447",
            "city": "FT. PIERCE",
            "state": "FL",
            "postal_code": "349541447",
            "telephone_number": "772-398-6200",
            "fax_number": "772-398-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SW ST. LUCIE WEST BLVD.",
            "city": "PT. ST. LUCIE",
            "state": "FL",
            "postal_code": "34986",
            "telephone_number": "772-398-6200",
            "fax_number": "772-398-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS HEALTH INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-398-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME100426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000640700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in PT. St. Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.