Individual provider Active NPI

Kristi Darlene Lewis, ARNP-C

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1659348167
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9165814 Issued in FL
Practice address
15243 Amberly Dr
Tampa, FL 33647-2155
Phone
(813) 493-3376
Fax
(888) 731-3365
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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 ARNP9165814 FL Primary

Addresses

Primary practice location

15243 Amberly Dr
Tampa, FL 33647-2155

Mailing address

15243 Amberly Dr
Tampa, FL 33647-2155
Phone (813) 493-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050127000280 FL Practitioner - Nurse Practitioner 2062462039 Reassigns benefits to 4 organizations
I20221014001080 TX Practitioner - Nurse Practitioner 2062462039 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Jan 1, 2022 Accepting new patients
Aqua Dermatology of Florida, PA CurrentSince Jan 1, 2022 Accepting new patients
Pophealthcare, LLC Nurse Practitioner CurrentSince Oct 20, 2024 Accepting new patients
Pophealthcare, LLC CurrentSince Oct 20, 2024 Accepting new patients
Water'S Edge Dermatology, LLC CurrentSince Mar 24, 2020 Accepting new patients
Gold Diagnostics Corp CurrentSince Jun 23, 2022 Accepting new patients
Water'S Edge Dermatology, LLC CurrentSince Mar 24, 2020 Accepting new patients
Lakeside Dermatology LLC Past Accepting new patients
Lakeside Dermatology , PA Past Accepting new patients

Locations

3140 US Highway 27 S
Avon Park, FL 33825
Phone (863) 225-7210

5101 Okeechobee Rd
Fort Pierce, FL 34947
Phone (772) 595-5995

3440 Hollywood Blvd
Ste 415
Hollywood, FL 33021
Phone (281) 912-3264

10739 Deerwood Park Blvd
Ste 200
Jacksonville, FL 32256
Phone (615) 721-7024

7406 Fullerton St
Ste 200
Jacksonville, FL 32256
Phone (800) 793-7050

22411 US Highway 27
Lake Wales, FL 33859
Phone (863) 225-7295

6250 Lantana Rd
Ste 9
Lake Worth, FL 33463
Phone (561) 578-8100

3659 S Miami Ave
Ste 6008
Miami, FL 33133
Phone (305) 854-5432

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

261 9th St S
Naples, FL 34102
Phone (239) 216-4337

14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542

301 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-0039

600 Village Square Xing
Palm Beach Gardens, FL 33410
Phone (561) 693-0540

2845 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (561) 693-0540

264 NW Peacock Blvd
Ste 201
St Lucie West, FL 34986
Phone (772) 323-2321

38162 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 782-2165

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

10101 Fondren Rd
Ste 112
Houston, TX 77096
Phone (281) 912-3264

Interoperability endpoints

  • Direct secure messaging: kristi.lewis.1@29290.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1659348167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15243 AMBERLY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472155",
            "telephone_number": "813-493-3376",
            "fax_number": "888-731-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15243 AMBERLY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472155",
            "telephone_number": "813-493-3376",
            "fax_number": "888-731-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KRISTI",
        "middle_name": "DARLENE",
        "name_prefix": "Ms.",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9165814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.