Carmen Diane Lewis, RN, IBCLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

60066879 Issued in WA

Practice address

2319 SW 320TH St
Federal Way, WA 98023-2514

Phone

(206) 679-0782

NPI assigned

Jun 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Carmen Diane Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1568809309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4813 38TH STREET CT NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984222468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 SW 320TH ST",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980232514",
            "telephone_number": "206-679-0782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 N Sam Houston Pkwy E",
            "address_2": "215",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770604034",
            "country_code": "US",
            "telephone_number": "281-578-1205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CARMEN",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "WA",
            "license": "L-87735",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "728095",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "60066879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "JOHNSON",
            "middle_name": "DIANE",
            "credential": "RN, IBCLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trisha Leonard, LICSW
• Elliott Leslie, LM, CPM
• Carmen Diana Let I, LMP
• Kevin K. Leung, MD
• Diane Elaine Levitan, MD
• Christian Mykal Lewis
• Jeffrey Lowell Lewis, PH.,D.
• Malia Paticia Jean Lewis, L.M.P.
• Roxann M Lewis, LMP
• Sharayah Lewis, M.S., LMHC

• Registered Nurse in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.