Active NPI
John Corbridge Lewis, APRN-RNP
- Nurse Practitioner
- Casa Grande, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 219712
- Practice address
- 1876 E Sabin Dr
Casa Grande, AZ 85122-6197 - Phone
- (520) 836-9800
- Fax
- (520) 836-1510
- NPI assigned
- Mar 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 219712 | AZ | |
| Nurse Practitioner | 363L00000X | 219712 | AZ | Primary |
Addresses
Primary practice location
1876 E Sabin Dr
Casa Grande, AZ 85122-6197
Mailing address
2730 E Walnut Dr
Taylor, AZ 85939-2658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
HC 1 Box
Suite 9100
Sells, AZ 85634-9744
Phone (520) 585-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219712 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunbelt Medical Group LLC | Current | Accepting new patients | |
| Integrated Healthcare Mobile Solutions, LLC | Nurse Practitioner | Current | Accepting new patients |
| Sunbelt Medical Group LLC | Current | Accepting new patients | |
| Compassus Op of Arizona LLC | Current | Accepting new patients |
Locations
3800 W Ray Rd
Ste 5
Chandler, AZ 85226
Phone (480) 718-5400
5333 N 7th St
Ste C123
Phoenix, AZ 85014
Phone (623) 900-2645
120 N 44th St
Ste 150
Phoenix, AZ 85034
Phone (623) 900-2645
9100 HC 1
Sells, AZ 85634
Phone (520) 361-1800
1840 E Baseline Rd
Ste A1
Tempe, AZ 85283
Phone (480) 718-5400
6264 E Grant Rd
Tucson, AZ 85712
Phone (520) 884-0001
2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104
10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
- Clinic/Center
- Tucson, AZ
- NPI 1104354752
-
- Family Nurse Practitioner
- Tempe, AZ
- NPI 1255749982
-
dba Compassus - Phoenix
- Community Based Hospice Care Agency
- Phoenix, AZ
- NPI 1013467364
-
- Foot & Ankle Surgery Podiatrist
- Tucson, AZ
- NPI 1568213700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1619436771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 E WALNUT DR",
"city": "TAYLOR",
"state": "AZ",
"postal_code": "859392658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1876 E SABIN DR",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851226197",
"telephone_number": "520-836-9800",
"fax_number": "520-836-1510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JOHN",
"middle_name": "CORBRIDGE",
"credential": "APRN-RNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-18",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "219712",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "219712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.