Cheryl Marie Lewis, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1431182 Issued in FL

Practice address

633 Treehouse Cir
Saint Augustine, FL 32095-6837

Phone

(904) 860-4066

NPI assigned

Feb 1, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1639822398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 TREEHOUSE CIR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320956837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 TREEHOUSE CIR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320956837",
            "telephone_number": "904-860-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHERYL",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "1431182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD",
            "identifier": "1431182",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon T Leu, MD
• Leung Yin Leuer
• Andrea Levinson, MSW
• Anthonia Levy, PH.D., LMHC, LPC.
• Natalia Lewin
• Gerald E Lewis, PT
• Patricia Lewis, A.P.R.N.
• Ronald J Lewis, MD
• Dolores Lexandra, PH.D., MSW,C.A.P.
• Brennan Leyendecker, DPT

• Gerontology Nurse Practitioner in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.