Individual provider Active NPI

Mary Josephine Lipana-Lewis, ARNP

  • Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1639119829
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN 3078372 Issued in FL
Practice address
6352 River Rd
New Port Richey, FL 34652-2241
Phone
(727) 844-3551
Fax
(727) 847-0427
NPI assigned
Jun 7, 2006
Last updated
Sep 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN 3078372 FL Primary

Addresses

Primary practice location

6352 River Rd
New Port Richey, FL 34652-2241

Mailing address

2646 Timacqua Dr
Holiday, FL 34691-8745
Phone (727) 938-8034

Other identifiers 1

IdentifierTypeStateIssuer
306769600MedicaidFL

Other names 1

  • Mrs. Mary Joy Lipana-Lewis Professional name

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

LicenseStateTypeSpecialty
RN 3078372FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen R. Montemayor, M. D., Faap Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marylipana-lewisnp@riversedgepediatrics.direct.emds.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1639119829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 TIMACQUA DR",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346918745",
            "telephone_number": "727-938-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6352 RIVER RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522241",
            "telephone_number": "727-844-3551",
            "fax_number": "727-847-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPANA-LEWIS",
        "first_name": "MARY",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "RN 3078372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306769600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LIPANA-LEWIS",
            "middle_name": "JOY",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.