Individual provider Active NPI

Ann A Lewis, FNP-C

  • Family Nurse Practitioner
  • Clinton, NC
National Provider Identifier
1578563201
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200386 Issued in NC
Practice address
408 Fairview St
Clinton, NC 28328-2312
Phone
(910) 596-2400
Fax
(910) 596-2502
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200386 NC Primary

Addresses

Primary practice location

408 Fairview St
Clinton, NC 28328-2312

Mailing address

408 Fairview St
Clinton, NC 28328-2312
Phone (910) 596-2400

Other identifiers 1

IdentifierTypeStateIssuer
7000106MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031219000262 NC Practitioner - Nurse Practitioner 2163320862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21619NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated CurrentSince Oct 20, 2014 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Oct 20, 2014 Accepting new patients

Locations

408 Fairview St
Clinton, NC 28328
Phone (910) 596-2400

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

Interoperability endpoints

  • Direct secure messaging: alewis@goshenmedical.cloudcraftdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1578563201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 FAIRVIEW ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282312",
            "telephone_number": "910-596-2400",
            "fax_number": "910-596-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 FAIRVIEW ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282312",
            "telephone_number": "910-596-2400",
            "fax_number": "910-596-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000106",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NC

Sources for this page

Verify at the official NPI Registry.