Active NPI
Angelique M. Lewis-Jones, RD
- Registered Dietitian
- Charlotte, NC
National Provider Identifier
1588890750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L002457
- Practice address
- 1718 E 4TH St
Suite 207
Charlotte, NC 28204-3261 - Phone
- (704) 384-7390
- Fax
- (704) 384-5669
- NPI assigned
- Jun 2, 2009
- Last updated
- Jun 2, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L002457 | NC | Primary |
Addresses
Primary practice location
1718 E 4TH St
Suite 207
Charlotte, NC 28204-3261
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-7390
Other names 1
- Angelique M. Lewis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L002457 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243900800000",
"number": "1588890750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-7390",
"fax_number": "704-384-5669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 E 4TH ST",
"address_2": "SUITE 207",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043261",
"telephone_number": "704-384-7390",
"fax_number": "704-384-5669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS-JONES",
"first_name": "ANGELIQUE",
"middle_name": "M.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-02",
"last_updated": "2009-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELIQUE",
"last_name": "LEWIS",
"middle_name": "M.",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.