Active NPI
Michelle M. Lewis, DO., LTD
- Obstetrics & Gynecology Physician
- Henderson, NV
National Provider Identifier
1679874648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 720
- Legal business name
- MICHELLE M. LEWIS, DO., LTD
- Practice address
- 1701 N Green Valley Pkwy
Suite 3a
Henderson, NV 89074-5885 - Phone
- (702) 566-3040
- Fax
- (702) 361-2813
- NPI assigned
- Nov 8, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Lewis, DO
- Title
- Owner/Physician
- Phone
- (702) 566-3040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 720 | NV | Primary |
Addresses
Primary practice location
1701 N Green Valley Pkwy
Suite 3a
Henderson, NV 89074-5885
Mailing address
1701 N Green Valley Pkwy
Suite 3a
Henderson, NV 89074-5885
Phone (702) 566-3040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019372 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
1701 N Green Valley Pkwy
Ste 3A
Henderson, NV 89074
Phone (702) 566-3040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677628800000",
"number": "1679874648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 N GREEN VALLEY PKWY",
"address_2": "SUITE 3A",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890745885",
"telephone_number": "702-566-3040",
"fax_number": "702-361-2813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N GREEN VALLEY PKWY",
"address_2": "SUITE 3A",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890745885",
"telephone_number": "702-566-3040",
"fax_number": "702-361-2813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE M. LEWIS, DO., LTD",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-08",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "702-566-3040",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NV",
"license": "720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2019372",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.