Active NPI
Rhonda J Lewis, DOM., LAC., MSOM
- Acupuncturist
- Evanston, WY
National Provider Identifier
1629414693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 1090
- Practice address
- 905 Main St
Evanston, WY 82930-3440 - Phone
- (307) 724-6537
- NPI assigned
- May 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 1090 | NM | Primary |
Addresses
Primary practice location
905 Main St
Evanston, WY 82930-3440
Mailing address
325 Front St # 130
Evanston, WY 82930-3633
Phone (307) 724-6537
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1090 | NM | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368748800000",
"number": "1629414693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 FRONT ST # 130",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829303633",
"telephone_number": "307-724-6537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 MAIN ST",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829303440",
"telephone_number": "307-724-6537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "RHONDA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DOM., LAC., MSOM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-17",
"last_updated": "2013-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NM",
"license": "1090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.