Mary Anne Lewis, EDD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

591 Issued in OK

Practice address

2121 S Columbia Ave
#580
Tulsa, OK 74114-3519

Phone

(918) 747-9292

Fax

(918) 747-9293

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Behavioral Health Inc.

  • Psychologist
  • Tulsa, OK
  • NPI 1891911905
  NPD (past)
• Planned Parenthood of Arkansas and Eastern Oklahoma, Inc

  • Multi-Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1831185412
  NPD (past)
• River Parks Developmental Center

  • Psychologist
  • Tulsa, OK
  • NPI 1124187992
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619064649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 S COLUMBIA AVE",
            "address_2": "#580",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143519",
            "telephone_number": "918-747-9292",
            "fax_number": "918-747-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S COLUMBIA AVE",
            "address_2": "#580",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741143519",
            "telephone_number": "918-747-9292",
            "fax_number": "918-747-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Lane Lewis, MD
• Krista Diane Lewis, LPC
• Lauren Lewis
• Marcia Lewis, LPC, EDD
• Marquel Lewis
• Michael Stephen Lewis, BA
• Molly Lewis, APRN
• Molly Elizabeth Lewis
• Regina Marie Lewis, DO
• Robert Lewis

• Psychologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.