Active NPI
Matilde Lidia Lewis, RN
- Registered Nurse
- Doral, FL
National Provider Identifier
1700343043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN2508122
- Practice address
- 9915 NW 41 St
Suite 230
Doral, FL 33178 - Phone
- (786) 595-9900
- Fax
- (786) 533-9475
- NPI assigned
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | CDE09910404 | FL | |
| Registered Nurse | 163W00000X | RN2508122 | FL | Primary |
Addresses
Primary practice location
9915 NW 41 St
Suite 230
Doral, FL 33178
Mailing address
9915 NW 41 St
Suite 230
Doral, FL 33178
Phone (786) 595-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2508122 | FL | MD | Registered Nurse |
| CDE09910404 | FL | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Physicians LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Miami, FL
- NPI 1891893343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1700343043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9915 NW 41 ST",
"address_2": "SUITE 230",
"city": "DORAL",
"state": "FL",
"postal_code": "33178",
"telephone_number": "786-595-9900",
"fax_number": "786-533-9475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9915 NW 41 ST",
"address_2": "SUITE 230",
"city": "DORAL",
"state": "FL",
"postal_code": "33178",
"telephone_number": "786-595-9900",
"fax_number": "786-533-9475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MATILDE",
"middle_name": "LIDIA",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "FL",
"license": "CDE09910404",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN2508122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.