Active NPI
Shaneika Marcha Lewis-Williams, APRN
- Pediatric Nurse Practitioner
- Little Rock, AR
National Provider Identifier
1588909162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- A003793
- Practice address
- 1 Childrens Way # 653
Little Rock, AR 72202-3500 - Phone
- (501) 364-1100
- Fax
- (501) 526-6562
- NPI assigned
- Dec 7, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A003793 | AR | |
| Pediatric Nurse Practitioner | 363LP0200X | A003793 | AR | Primary |
Addresses
Primary practice location
1 Childrens Way # 653
Little Rock, AR 72202-3500
Mailing address
PO Box 251418
Little Rock, AR 72225-1418
Phone (501) 364-4020
Other practice location 1
1501 Woody Lane
Alexander, AR 72002
Phone (501) 686-8252 ext. 5829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Arkansas Childrens Hospital | Past | Accepting new patients |
Locations
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
1 Childrens Way
Ste 653
Little Rock, AR 72202
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1598773079
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1629889464
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
-
- General Practice Physician
- Little Rock, AR
- NPI 1336533041
-
- Dental Clinic/Center
- Little Rock, AR
- NPI 1770889552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1588909162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251418",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722251418",
"telephone_number": "501-364-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS WAY # 653",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722023500",
"telephone_number": "501-364-1100",
"fax_number": "501-526-6562"
}
],
"practiceLocations": [
{
"address_1": "1501 Woody Lane",
"address_purpose": "LOCATION",
"city": "Alexander",
"state": "AR",
"postal_code": "72002",
"country_code": "US",
"telephone_number": "501-686-8252 x5829",
"fax_number": "501-686-4352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS-WILLIAMS",
"first_name": "SHANEIKA",
"middle_name": "MARCHA",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-07",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A003793",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AR",
"license": "A003793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.