Individual provider Active NPI

Tayler M Lewis, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1679028252
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340808 Issued in NY
Practice address
7500 N Dreamy Draw Dr
Phoenix, AZ 85020-4660
Phone
(520) 233-7111
NPI assigned
Aug 24, 2016
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 290669 AZ
Family Nurse Practitioner 363LF0000X 340808 NY Primary

Addresses

Primary practice location

7500 N Dreamy Draw Dr
Phoenix, AZ 85020-4660

Mailing address

7500 N Dreamy Draw Dr
Phoenix, AZ 85020-4660
Phone (520) 233-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ, NV3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160927001452 NY Practitioner - Nurse Practitioner 7315234879
I20231031002733 AZ Practitioner - Nurse Practitioner 7315234879 Reassigns benefits to 1 organization
I20241121003502 NV Practitioner - Nurse Practitioner 7315234879 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290669AZMDFamily Nurse Practitioner
340808NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adobe Provider Group CurrentSince Aug 18, 2023 Accepting new patients
Family Practice Associates PLLC CurrentSince Sep 1, 2016 Accepting new patients
Adobe PH PC CurrentSince Nov 15, 2024 Accepting new patients
Adobe Care and Wellness LLC Past Accepting new patients

Locations

7500 N Dreamy Draw Dr
Ste 100
Phoenix, AZ 85020
Phone (520) 233-7111

7500 N Dreamy Draw Dr
Ste 100B
Phoenix, AZ 85020
Phone (520) 233-7111

7251 W Lake Mead Blvd
Ste 300
Las Vegas, NV 89128
Phone (702) 562-4096

8100 Oswego Rd
Ste 220
Liverpool, NY 13090
Phone (315) 652-6551

8324 Oswego Rd
Ste D
Liverpool, NY 13090
Phone (315) 652-6551

Organizations & group practices 4

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1679028252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204660",
            "telephone_number": "520-233-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204660",
            "telephone_number": "520-233-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TAYLER",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "290669",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.