Shantea Lewis

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

2403 Dennis St
Copperas Cove, TX 76522-4828

Phone

(404) 519-3796

NPI assigned

Mar 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1619502069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 DENNIS ST",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765224828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 DENNIS ST",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765224828",
            "telephone_number": "404-519-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SHANTEA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "onechosenstar@gmail.com",
            "affiliation": "N",
            "address_1": "2403 Dennis St",
            "city": "Copperas Cove",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765224828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Molly Jo Leitnaker, P.A.
• Alyssa Esperanza Leverett, SLP-ASSISTANT
• Jamisha Levery
• Elodie Levy
• Kragen Deshawn Lewis, DPT
• Stephanie Lewis
• LGGM Express LLC
• Little Sprouts Therapy LLC
• Teresa Margarita Lopez, PT
• Silas Michael Lowery

• Prosthetics Case Management in Copperas Cove, TX
• Providers in Copperas Cove, TX by specialty
• Prosthetics Case Management in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.