Mary B. Lewis, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71000994A Issued in IN

Practice address

3400 E Market St
Logansport, IN 46947-2295

Phone

(574) 722-9633

Fax

(574) 722-5987

NPI assigned

Sep 21, 2007

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Everside Health LLC

  • Family Medicine Physician
  • Logansport, IN
  • NPI 1881358968
  NPD (past)
• Mid State Logansport Ed Physicians

  • Emergency Medicine Physician
  • Logansport, IN
  • NPI 1831233287
  NPD (past)

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1700072808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E MARKET ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472295",
            "telephone_number": "574-722-9633",
            "fax_number": "574-722-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E MARKET ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472295",
            "telephone_number": "574-722-9633",
            "fax_number": "574-722-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARY",
        "middle_name": "B.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000994A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000550574",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200932700",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00626250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Sue Lees, BS
• Karlin Lehmansalyer, RN
• Stephanie Lynn Lewellen, PT
• Lewis Family Dentistry, LLC
• Jay V Lewis, D.D.S.
• Michael S Liebner, MD
• Stathia Lineback, LPN
• Little Helper Home Care, LLC
• Zachari Littleton
• Logan Emergency Physicians, P.C.

• Nurse Practitioner in Logansport, IN
• Providers in Logansport, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.