Vyctoria Maddison Lewis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F12210195 Issued in UT

Practice address

632 W 1460 S
Spanish Fork, UT 84660-6118

Phone

(801) 362-9391

NPI assigned

Dec 13, 2021

Last updated

Dec 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vyctoria.lewis@875461075599364.direct.elationemr.com

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.

• Premier Family Medical

  • Family Medicine Physician
  • Pleasant Grove, UT
  • NPI 1750725735
  NPD
• Premier Family Medical - City Center

  • Family Medicine Physician
  • Eagle Mountain, UT
  • NPI 1649160235
  NPD
• Premier Family Medical - Lindon

  • Family Medicine Physician
  • Lindon, UT
  • NPI 1427492305
  NPD
• Premier Family Medical - Traverse Mountain

  • Family Medicine Physician
  • Lehi, UT
  • NPI 1003202730
  NPD (past)
• Utah Fertility Center

  • Specialist
  • Pleasant Grove, UT
  • NPI 1194057703
  NPD (past)

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1689333106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 W 1460 S",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846606118",
            "telephone_number": "801-362-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 W 1460 S",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846606118",
            "telephone_number": "801-362-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "VYCTORIA",
        "middle_name": "MADDISON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "F12210195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lemmons
• Lindsay Leonard, FNP
• Nathele Kiana Ka'Aiohelo Kal Lesa, BSN
• Amanda Jolene Lewis, RDN, CD
• Noelle Lewis
• Life Balance
• Life Balance Recovery
• Lil Buzz LLC (Beehive Homes of Spanish Fork1)
• Lite Supply
• Jason S Littledike, MPT

• Family Nurse Practitioner in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.